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

Mr. Jacob Wilding Avery, LCSW

Individual provider Clinical Social Worker · NPI 1558639989

Mr. Jacob Wilding Avery, LCSW is a Clinical Social Worker in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2011
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4258 Hawk St
San Diego, CA 92103-1357
Phone: (619) 727-7167
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 27985 (CA)

Record details

NPI number1558639989
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedDecember 13, 2011
Last updated in NPPESDecember 13, 2011

Other providers in San Diego