Provider Demographics
NPI:1962659706
Name:JENSEN, CINDY CHERE'E (MSW)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:CHERE'E
Last Name:JENSEN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MISS
Other - First Name:CINDY
Other - Middle Name:CHERE'E
Other - Last Name:LONGELY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:325 DAYLOMA AVE
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-2009
Mailing Address - Country:US
Mailing Address - Phone:805-765-4701
Mailing Address - Fax:
Practice Address - Street 1:3291 LOMA VISTA RD
Practice Address - Street 2:BUILDING 340, SUITE 301
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-3099
Practice Address - Country:US
Practice Address - Phone:805-652-6138
Practice Address - Fax:805-652-6136
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-22
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW619351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical