Jackelin Chavez Rueda, is a
Social Worker - Clinical based in Lodi, California. Jackelin Chavez Rueda is licensed to practice in * (Not Available) (license number ) and her current practice location is
1920 Tienda Dr. #101, Lodi, California. She can be reached at her office (for appointments etc.) via phone at
(209) 647-0398.
NPI number for Jackelin Chavez Rueda is 1376962308 and her current mailing address is P.o. Box 6779, Stockton, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376962308.
Healthcare Provider's Profile
| Full Name | Jackelin Chavez Rueda |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1920 Tienda Dr. #101, Lodi, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1376962308
- Provider Enumeration Date: 04/07/2014
- Last Update Date: 11/22/2022
Medical Identifiers
Medical identifiers for Jackelin Chavez Rueda such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376962308 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Jackelin Chavez Rueda 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 |
|---|
Jackelin Chavez Rueda,
P.o. Box 6779,
Stockton, CA 95206
Ph: (209) 368-2532 | Jackelin Chavez Rueda,
1920 Tienda Dr. #101,
Lodi, CA 95242
Ph: (209) 647-0398 |
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