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

Mr. Jeremy Lightell, LCSW

Individual provider Clinical Social Worker · NPI 1013154970

Mr. Jeremy Lightell, LCSW is a Clinical Social Worker in Hayward, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2009
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

409 Jackson St
Hayward, CA 94544-1530
Phone: (510) 891-5600
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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 LCSW93817 (CA)

Record details

NPI number1013154970
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 14, 2009
Last updated in NPPESApril 6, 2022
Certification dateApril 6, 2022

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