Jennifer Lee Guevara, LCSW-A is a
Social Worker - Clinical based in Jacksonville, North Carolina. Jennifer Lee Guevara is licensed to practice in North Carolina (license number P014755) and her current practice location is
215b Memorial Dr, Jacksonville, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(252) 747-7824.
NPI number for Jennifer Lee Guevara is 1821615980 and her current mailing address is 2701 N 16th St Ste 316, Phoenix, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821615980.
Healthcare Provider's Profile
Full Name | Jennifer Lee Guevara |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 215b Memorial Dr, Jacksonville, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1821615980
- Provider Enumeration Date: 07/06/2020
- Last Update Date: 05/04/2021
Medical Identifiers
Medical identifiers for Jennifer Lee Guevara such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821615980 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-26769 (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | P014755 (North Carolina) | 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. Jennifer Lee Guevara 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 |
Jennifer Lee Guevara, LCSW-A 2701 N 16th St Ste 316, Phoenix, AZ 85006-1266 Ph: (602) 636-4409 | Jennifer Lee Guevara, LCSW-A 215b Memorial Dr, Jacksonville, NC 28546-6333 Ph: (252) 747-7824 |
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