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JESSICA HADERLIE
NPI 1962347138
Social Worker - Clinical in San Clemente, CA

Active since April 22, 2026
719 CALLE CAMISA, SAN CLEMENTE, CA 92673(949) 429-9979 Get Directions Write a Review

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

About Jessica Haderlie NPPES

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

JESSICA HADERLIE (NPI 1962347138) is an individual clinical provider in San Clemente, California, licensed in California (ASW136267) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1962347138
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJESSICA HADERLIE
Location Address719 CALLE CAMISASan Clemente, CA 92673-2703
Mailing Address719 Calle CamisaSan Clemente, CA 92673-2703 · (949) 429-9979
Phone(949) 429-9979
Sole ProprietorYes
Enumeration DateApril 22, 2026
NPPES CertifiedApril 22, 2026
✔ NPI 1962347138 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 · ASW136267
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.
719 CALLE CAMISA, San Clemente, CA 92673
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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 Jessica Haderlie's NPI number?

The NPI number for Jessica Haderlie is 1962347138. It was assigned to this individual provider in the NPPES registry on April 22, 2026.

Where is Jessica Haderlie located?

Jessica Haderlie practices at 719 Calle Camisa, San Clemente, CA 92673. The listed phone number is (949) 429-9979.

What is Jessica Haderlie'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 Jessica Haderlie was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.