Jaquelinne Gonzalez-ruiz, is a
Social Worker - Clinical based in Fontana, California. Jaquelinne Gonzalez-ruiz is licensed to practice in California (license number 113832) and her current practice location is
14677 Merrill Ave., Fontana, California. She can be reached at her office (for appointments etc.) via phone at
(951) 643-2335.
NPI number for Jaquelinne Gonzalez-ruiz is 1609392935 and her current mailing address is 14677 Merrill Ave, Fontana, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1609392935.
Healthcare Provider's Profile
| Full Name | Jaquelinne Gonzalez-ruiz |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 14677 Merrill Ave., Fontana, 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: 1609392935
- Provider Enumeration Date: 08/17/2017
- Last Update Date: 06/28/2023
Medical Identifiers
Medical identifiers for Jaquelinne Gonzalez-ruiz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609392935 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 83889 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 113832 (California) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
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. Jaquelinne Gonzalez-ruiz 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 |
|---|
Jaquelinne Gonzalez-ruiz,
14677 Merrill Ave,
Fontana, CA 92335-4219
Ph: (714) 757-1529 | Jaquelinne Gonzalez-ruiz,
14677 Merrill Ave.,
Fontana, CA 92335
Ph: (951) 643-2335 |
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