Provider Demographics
NPI:1952100497
Name:MCGINLEY, JENNIFER LEE (ACSW123966)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:LEE
Last Name:MCGINLEY
Suffix:
Gender:
Credentials:ACSW123966
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32932 PACIFIC COAST HWY STE. 14
Mailing Address - Street 2:PO BOX #438
Mailing Address - City:DANA POINT
Mailing Address - State:CA
Mailing Address - Zip Code:92629-3467
Mailing Address - Country:US
Mailing Address - Phone:949-229-0174
Mailing Address - Fax:
Practice Address - Street 1:4299 MACARTHUR BLVD STE 200
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-2095
Practice Address - Country:US
Practice Address - Phone:949-480-7767
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-08
Last Update Date:2025-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAACSW1239661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical