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

Individual provider Clinical Social Worker · NPI 1134255755

Mr. Jason D Hennick, LCSW is a Clinical Social Worker in San Diego, California. Qualified in 2003, 23 years ago. Practices with Grow Through Life Counseling, Inc, an 8-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
23
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

3255 Wing St
San Diego, CA 92110-4638
Phone: (619) 521-3939
Fax: (619) 521-3935
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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 LCS 28047 (CA)

Record details

NPI number1134255755
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 26, 2007
Last updated in NPPESJuly 24, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Grow Through Life Counseling, Inc. — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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