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

Blue Phoenix Jauregui

Individual provider Clinical Social Worker · NPI 1346046232

Blue Phoenix Jauregui is a Clinical Social Worker in Marina, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

3116 Lake Dr Apt 20
Marina, CA 93933-2834
Phone: (510) 882-4728
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3116 Lake Dr Apt 20, Marina, CA 93933-2834 — (510) 882-4728

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence ASW119809 (CA)

Record details

NPI number1346046232
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 20, 2025
Last updated in NPPESFebruary 20, 2025
Certification dateFebruary 20, 2025
Mailing address3116 Lake Dr Apt 20, Marina, CA 93933-2834

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