Provider Demographics
NPI:1457584567
Name:SANTOYO, JENNA N (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JENNA
Middle Name:N
Last Name:SANTOYO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 NORMANDY LN
Mailing Address - Street 2:
Mailing Address - City:LODI
Mailing Address - State:CA
Mailing Address - Zip Code:95242-3434
Mailing Address - Country:US
Mailing Address - Phone:209-712-1683
Mailing Address - Fax:
Practice Address - Street 1:1800 NORMANDY LN
Practice Address - Street 2:
Practice Address - City:LODI
Practice Address - State:CA
Practice Address - Zip Code:95242-3434
Practice Address - Country:US
Practice Address - Phone:209-712-1683
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-24
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA298271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical