Jaclyn Kyra Waite, LCSW is a
Social Worker - Clinical based in Claremont, California. Jaclyn Kyra Waite is licensed to practice in California (license number 98615) and her current practice location is
250 W 1st St Ste 214, Claremont, California. She can be reached at her office (for appointments etc.) via phone at
(909) 451-9941.
NPI number for Jaclyn Kyra Waite is 1972023802 and her current mailing address is 149 W Lambert Rd, Brea, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972023802.
Healthcare Provider's Profile
| Full Name | Jaclyn Kyra Waite |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 250 W 1st St Ste 214, Claremont, 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: 1972023802
- Provider Enumeration Date: 06/21/2017
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Jaclyn Kyra Waite such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972023802 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 83988 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 98615 (California) | 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. Jaclyn Kyra Waite 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 |
|---|
Jaclyn Kyra Waite, LCSW
149 W Lambert Rd,
Brea, CA 92821-4042
Ph: (714) 598-2052 | Jaclyn Kyra Waite, LCSW
250 W 1st St Ste 214,
Claremont, CA 91711-4743
Ph: (909) 451-9941 |
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