Javeona Janea Boddie, is a
Community Health Worker based in South San Francisco, California. Javeona Janea Boddie is licensed to practice in California (license number 1619684156) and her current practice location is
170 S Spruce Ave Ste 200, South San Francisco, California. She can be reached at her office (for appointments etc.) via phone at
(628) 946-5222.
NPI number for Javeona Janea Boddie is 1619684156 and her current mailing address is 36 Leland Ave Apt A, San Francisco, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619684156.
Healthcare Provider's Profile
Full Name | Javeona Janea Boddie |
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Gender | Female |
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Speciality | Community Health Worker |
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Location | 170 S Spruce Ave Ste 200, South San Francisco, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619684156
- Provider Enumeration Date: 11/03/2022
- Last Update Date: 05/03/2023
Medical Identifiers
Medical identifiers for Javeona Janea Boddie such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619684156 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (California) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
172V00000X | Community Health Worker | 1619684156 (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. Javeona Janea Boddie 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 |
Javeona Janea Boddie, 36 Leland Ave Apt A, San Francisco, CA 94134-2804 Ph: () - | Javeona Janea Boddie, 170 S Spruce Ave Ste 200, South San Francisco, CA 94080-4557 Ph: (628) 946-5222 |
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