Jennifer Lopez, is a
Social Worker based in Pomona, California. Jennifer Lopez is licensed to practice in California (license number ASW110919) and her current practice location is
790 E Bonita Ave, Pomona, California. She can be reached at her office (for appointments etc.) via phone at
(909) 625-7207.
NPI number for Jennifer Lopez is 1467062802 and her current mailing address is 11063 Wesley Ave, Montclair, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1467062802.
Healthcare Provider's Profile
| Full Name | Jennifer Lopez |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 790 E Bonita Ave, Pomona, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1467062802
- Provider Enumeration Date: 07/31/2020
- Last Update Date: 07/10/2023
Medical Identifiers
Medical identifiers for Jennifer Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467062802 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | ASW110919 (California) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | ASW110919 (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. Jennifer Lopez 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 Lopez,
11063 Wesley Ave,
Montclair, CA 91763-6092
Ph: (909) 247-8982 | Jennifer Lopez,
790 E Bonita Ave,
Pomona, CA 91767-1906
Ph: (909) 625-7207 |
Reviews and Comments