Jacqueline Andrea Deluca, LCSW113846 is a
Social Worker - Clinical based in Los Angeles, California. Jacqueline Andrea Deluca is licensed to practice in California (license number 113846) and her current practice location is
4470 W Sunset Blvd Ste 107, Pmb94731, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(323) 968-6182.
NPI number for Jacqueline Andrea Deluca is 1235638255 and her current mailing address is Po Box 2094, Mission Viejo, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235638255.
Healthcare Provider's Profile
| Full Name | Jacqueline Andrea Deluca |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
|---|
| Location | 4470 W Sunset Blvd Ste 107, Los Angeles, 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: 1235638255
- Provider Enumeration Date: 02/05/2018
- Last Update Date: 06/19/2023
Medical Identifiers
Medical identifiers for Jacqueline Andrea Deluca such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235638255 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | ASW76857 (California) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 113846 (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. Jacqueline Andrea Deluca 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 |
|---|
Jacqueline Andrea Deluca, LCSW113846
Po Box 2094,
Mission Viejo, CA 92690-0094
Ph: () - | Jacqueline Andrea Deluca, LCSW113846
4470 W Sunset Blvd Ste 107, Pmb94731,
Los Angeles, CA 90027
Ph: (323) 968-6182 |
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