Fatima Jalloh, is a
Social Worker - Clinical based in Roseburg, Oregon. Fatima Jalloh is licensed to practice in Oregon (license number L11796) and her current practice location is
3005 Ne Diamond Lake Blvd, Roseburg, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 440-3532.
NPI number for Fatima Jalloh is 1922612035 and her current mailing address is Po Box 1121, Roseburg, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922612035.
Healthcare Provider's Profile
| Full Name | Fatima Jalloh |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
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| Location | 3005 Ne Diamond Lake Blvd, Roseburg, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1922612035
- Provider Enumeration Date: 09/04/2020
- Last Update Date: 09/23/2024
Medical Identifiers
Medical identifiers for Fatima Jalloh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922612035 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 1041C0700X (Oregon) | Secondary |
| 1041C0700X | Social Worker - Clinical | L11796 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Fatima Jalloh is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Fatima Jalloh,
Po Box 1121,
Roseburg, OR 97470-0254
Ph: (541) 440-3532 | Fatima Jalloh,
3005 Ne Diamond Lake Blvd,
Roseburg, OR 97470-3609
Ph: (541) 440-3532 |
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