Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Anisett Jacques-Willis, LCSW

Individual provider Clinical Social Worker · NPI 1396855433

Mr. Anisett Jacques-Willis, LCSW is a Clinical Social Worker in San Diego, California. Licensed in California and New York. Registered with an NPI since 2006.

Licensed in
CA, NY
In the registry since
2006
Specialties on file
2
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

3350 La Jolla Village Dr Social Work Services
San Diego, CA 92161-0002
Phone: (858) 552-7475
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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 083577 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence 72516 (CA)

Record details

NPI number1396855433
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 30, 2006
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025

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