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

Jean Blazen, LCSW

Individual provider Clinical Social Worker · NPI 1417153081

Jean Blazen, LCSW is a Clinical Social Worker in Corona, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2055 Kellogg Ave Fl 2
Corona, CA 92879-3111
Phone: (951) 898-7138
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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 · Licence 22498 (CA)

Record details

NPI number1417153081
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 21, 2007
Last updated in NPPESOctober 23, 2021
Certification dateOctober 23, 2021

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