Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer M. Wallace Canobbio, MSW, ASW

Individual provider Clinical Social Worker · NPI 1396082434

Jennifer M. Wallace Canobbio, MSW, ASW is a Clinical Social Worker in Santa Cruz, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2013
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

627 Cabrillo Ave
Santa Cruz, CA 95065-1107
Phone: (408) 821-6832
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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 ASW33242 (CA)

Record details

NPI number1396082434
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , ASW
Sole proprietorYes
NPI enumeratedJanuary 9, 2013
Last updated in NPPESJanuary 9, 2013

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