Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Donnelly, Licensed Clinical Social Worker, Inc

Organization Clinical Social Worker · NPI 1336849546

Jacob Donnelly, Licensed Clinical Social Worker, Inc is a Clinical Social Worker in Berkeley, California. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2428 Dwight Way Ste 9
Berkeley, CA 94704-2399
Phone: (510) 982-6836
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1336849546
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacob Donnelly — Owner · (510) 982-6836
NPI enumeratedMarch 7, 2023
Last updated in NPPESMarch 7, 2023
Certification dateMarch 6, 2023
Mailing address2428 Dwight Way Ste 9, Berkeley, CA 94704-2399

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