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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063190973

Jacqueline Imbach, MSW is a Student in an Organized Health Care Education/Training Program in Rancho Cucamonga, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
Specialties on file
3
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

9445 Fairway View Pl
Rancho Cucamonga, CA 91730-0929
Phone: (909) 983-2020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 118286 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1063190973
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW
Sole proprietorYes
NPI enumeratedJuly 10, 2023
Last updated in NPPESSeptember 26, 2023
Certification dateSeptember 26, 2023

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