Jennifer Lucille Anderson, SUDCC III-CS is a
Community Health Worker based in Fresno, California. Jennifer Lucille Anderson is licensed to practice in * (Not Available) (license number ) and her current practice location is
2550 W Clinton Ave Bldg A #125, Fresno, California. She can be reached at her office (for appointments etc.) via phone at
(559) 408-4643.
NPI number for Jennifer Lucille Anderson is 1528261187 and her current mailing address is 2550 W Clinton Ave Unit 134, Fresno, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528261187.
Healthcare Provider's Profile
| Full Name | Jennifer Lucille Anderson |
|---|
| Gender | Female |
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| Speciality | Community Health Worker |
|---|
| Location | 2550 W Clinton Ave Bldg A #125, Fresno, 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: 1528261187
- Provider Enumeration Date: 06/08/2007
- Last Update Date: 07/03/2024
Medical Identifiers
Medical identifiers for Jennifer Lucille Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528261187 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 7177 (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | 7177 (California) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | 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 Lucille Anderson 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 Lucille Anderson, SUDCC III-CS
2550 W Clinton Ave Unit 134,
Fresno, CA 93705-4209
Ph: (559) 408-4492 | Jennifer Lucille Anderson, SUDCC III-CS
2550 W Clinton Ave Bldg A #125,
Fresno, CA 93705-9370
Ph: (559) 408-4643 |
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