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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JENNIFER A SEDERHOLM LCSW
NPI 1396992897
Social Worker - Clinical in Santa Rosa, CA

Active since August 26, 2008
1011 COLLEGE AVE STE 250, SANTA ROSA, CA 95404(707) 401-0141 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 6, 2026, Aug 22, 2022 (2 updates tracked since 2022).

About Jennifer A Sederholm Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER A SEDERHOLM LCSW (NPI 1396992897) is an individual clinical provider in Santa Rosa, California, licensed in California (25578) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1396992897
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJENNIFER A SEDERHOLMCredential: LCSW
Location Address1011 COLLEGE AVE STE 250Santa Rosa, CA 95404-4112
Mailing Address1011 College Ave Ste 250Santa Rosa, CA 95404-4112 · (707) 401-0141
Phone(707) 401-0141
Sole ProprietorNo
Enumeration DateAugust 26, 2008
Last NPPES UpdateOctober 6, 20262 updates tracked since enumeration
NPPES CertifiedOctober 6, 2026
✔ NPI 1396992897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 25578
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1011 COLLEGE AVE STE 250, Santa Rosa, CA 95404
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Sederholm's NPI number?

The NPI number for Jennifer Sederholm is 1396992897. It was assigned to this individual provider in the NPPES registry on August 26, 2008.

Where is Jennifer Sederholm located?

Jennifer Sederholm practices at 1011 College Ave Ste 250, Santa Rosa, CA 95404. The listed phone number is (707) 401-0141.

What is Jennifer Sederholm's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Jennifer Sederholm was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.