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

Active since August 26, 2008
405 CHINN ST, SANTA ROSA, CA 95404(707) 387-0304 Get Directions Write a Review

NPPES record last updated: August 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 (16947) and active in the NPI registry since August 2008. She maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1396992897
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJENNIFER A SEDERHOLMCredential: LCSW
Location Address405 CHINN STSanta Rosa, CA 95404-4309
Mailing Address405 Chinn StSanta Rosa, CA 95404-4309
Phone(707) 387-0304
Sole ProprietorNo
Enumeration DateAugust 26, 2008
Last NPPES UpdateAugust 22, 2022
NPPES CertifiedAugust 22, 2022
✔ 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 · 16947
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.
405 CHINN ST, Santa Rosa, CA 95404
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Secondary Practice Location 1

Location 19445 Farnham StSan Diego, CA 92123-1308 · Phone (858) 692-7492

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SHOSHONA PASCOE MFT
Marriage & Family Therapist
405 CHINN ST, #104
SANTA ROSA, CA 95404
Sonoma County (707) 573-9575
BARBARA BOWEN
Social Worker (Clinical)
405 CHINN ST
SANTA ROSA, CA 95404
Sonoma County (707) 575-5300
MS. GUDRUN ZOMERLAND MFT
Marriage & Family Therapist
405 CHINN ST
SANTA ROSA, CA 95404
Sonoma County (707) 575-8468
MR. MILTON HERMAN WOOLLEY M.F.T
Counselor (Mental Health)
405 CHINN ST, 106
SANTA ROSA, CA 95404
Sonoma County (707) 481-4343
MS. SHARON LEE BROWN
Marriage & Family Therapist
405 CHINN ST
SANTA ROSA, CA 95404
Sonoma County (707) 526-4353
MEREDITH MEYER LMFT
Marriage & Family Therapist
405 CHINN ST
SANTA ROSA, CA 95404
Sonoma County (760) 214-1875

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 405 Chinn St, Santa Rosa, CA 95404. The listed phone number is (707) 387-0304.

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 August 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.