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DEBORAH LYNNE SAN JUAN LCSW
NPI 1760194575
Social Worker - Clinical in Fairfield, CA

Active since December 23, 2022
2825 PRESTWICK CT, FAIRFIELD, CA 94534(707) 580-8273 Get Directions Write a Review

NPPES record last updated: December 23, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Deborah Lynne San Juan Lcsw NPPES

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

DEBORAH LYNNE SAN JUAN LCSW (NPI 1760194575) is an individual clinical provider in Fairfield, California, licensed in California (80825) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1760194575
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDEBORAH LYNNE SAN JUANCredential: LCSW
Location Address2825 PRESTWICK CTFairfield, CA 94534-7873
Mailing Address2825 Prestwick CtFairfield, CA 94534-7873 · (707) 580-8273
Phone(707) 580-8273
Sole ProprietorNo
Enumeration DateDecember 23, 2022
NPPES CertifiedDecember 23, 2022
✔ NPI 1760194575 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 · 80825
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.
2825 PRESTWICK CT, Fairfield, CA 94534
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Other Names 1

Former Name (1)Deboran Lynne Johnson Lcsw

Other Identifiers 1

Other80825CA · Board Of Behavioral Health

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 Deborah San Juan's NPI number?

The NPI number for Deborah San Juan is 1760194575. It was assigned to this individual provider in the NPPES registry on December 23, 2022. The provider is also known as Deboran Lynne Johnson Lcsw.

Where is Deborah San Juan located?

Deborah San Juan practices at 2825 Prestwick Ct, Fairfield, CA 94534. The listed phone number is (707) 580-8273.

What is Deborah San Juan'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 Deborah San Juan was last updated on December 23, 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.