Jacob Donnelly, Licensed Clinical Social Worker, Inc.
NPI 1336849546 · Clinical Social Worker · Berkeley, CA
Jacob Donnelly, Licensed Clinical Social Worker, Inc. is a Clinical Social Worker organization in Berkeley, CA (NPI 1336849546).
Provider details
- NPI number
- 1336849546
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jacob Donnelly, Owner(510) 982-6836
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-03-07
- Last updated
- 2023-03-07
- Certified
- 2023-03-06
Frequently asked questions
- What is Jacob Donnelly, Licensed Clinical Social Worker, Inc.'s NPI number?
- Jacob Donnelly, Licensed Clinical Social Worker, Inc.'s National Provider Identifier (NPI) is 1336849546, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jacob Donnelly, Licensed Clinical Social Worker, Inc.?
- Jacob Donnelly, Licensed Clinical Social Worker, Inc. is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jacob Donnelly, Licensed Clinical Social Worker, Inc. located?
- Jacob Donnelly, Licensed Clinical Social Worker, Inc.'s practice location on file with NPPES is 2428 Dwight Way Ste 9, Berkeley, CA 94704-2399.
- What is Jacob Donnelly, Licensed Clinical Social Worker, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Jacob Donnelly, Licensed Clinical Social Worker, Inc. is (510) 982-6836.
- Who is the authorized official for Jacob Donnelly, Licensed Clinical Social Worker, Inc.?
- The authorized official listed on Jacob Donnelly, Licensed Clinical Social Worker, Inc.'s NPPES record is Jacob Donnelly, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jacob Donnelly, Licensed Clinical Social Worker, Inc.'s NPI active?
- Yes — Jacob Donnelly, Licensed Clinical Social Worker, Inc.'s NPI (1336849546) is active in the NPPES registry as of the last update on 2023-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.