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

Jessica Souza, ASW

Individual provider Counselor · NPI 1053716704

Jessica Souza, ASW is a Counselor in San Rafael, California. Practices as a sole proprietor. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
2

Practice location Address checks out

3270 Kerner Blvd Ste A
San Rafael, CA 94901-4840
Phone: (415) 457-6964
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X
Counselor Taxonomy 101Y00000X

Record details

NPI number1053716704
Entity typeIndividual (Type 1)
GenderFemale
Credentials ASW
Sole proprietorYes
NPI enumeratedOctober 23, 2014
Last updated in NPPESAugust 5, 2024
Certification dateAugust 5, 2024

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