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

Mr. Jerry Fowler, LSCW

Individual provider Clinical Social Worker · NPI 1700839420

Mr. Jerry Fowler, LSCW is a Clinical Social Worker in McKinleyville, California. Licensed in California. Registered with an NPI since 2006.

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

Practice location Address checks out

5300 Patrick Creek Dr
McKinleyville, CA 95519-8024
Phone: (707) 839-0123
Show map & directions

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

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 5750 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 652 (CA)

Record details

NPI number1700839420
Entity typeIndividual (Type 1)
GenderMale
Credentials LSCW
Sole proprietorNo
NPI enumeratedMay 17, 2006
Last updated in NPPESJuly 13, 2026

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