Jacquelyn Sherice Dillard, is a
Social Worker - Clinical based in Long Beach, California. Jacquelyn Sherice Dillard is licensed to practice in California (license number ASW78489) and her current practice location is
6060 N Paramount Blvd, Long Beach, California. She can be reached at her office (for appointments etc.) via phone at
(562) 790-1860.
NPI number for Jacquelyn Sherice Dillard is 1730464124 and her current mailing address is 17811 Mackeson Ct, Carson, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730464124.
Healthcare Provider's Profile
Full Name | Jacquelyn Sherice Dillard |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 6060 N Paramount Blvd, Long Beach, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1730464124
- Provider Enumeration Date: 10/17/2011
- Last Update Date: 06/12/2023
Medical Identifiers
Medical identifiers for Jacquelyn Sherice Dillard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730464124 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | ASW78489 (California) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | ASW78489 (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. Jacquelyn Sherice Dillard 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 |
Jacquelyn Sherice Dillard, 17811 Mackeson Ct, Carson, CA 90746-1627 Ph: (310) 977-8802 | Jacquelyn Sherice Dillard, 6060 N Paramount Blvd, Long Beach, CA 90805-3711 Ph: (562) 790-1860 |
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