Provider Demographics
NPI:1366275992
Name:JENNA SETO LICENSED CLINICAL SOCIAL WORKER, INC.
Entity type:Organization
Organization Name:JENNA SETO LICENSED CLINICAL SOCIAL WORKER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JENNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SETO NEWLAND
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, CSAT, EMDR
Authorized Official - Phone:760-895-1352
Mailing Address - Street 1:77564 COUNTRY CLUB DR STE 234
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92211-6250
Mailing Address - Country:US
Mailing Address - Phone:760-895-1352
Mailing Address - Fax:760-859-3838
Practice Address - Street 1:77564 COUNTRY CLUB DR STE 234
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92211-6250
Practice Address - Country:US
Practice Address - Phone:760-895-1352
Practice Address - Fax:760-859-3838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-20
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty