Jennifer Marie Vazquez, LCSW is a medicare enrolled "Social Worker - Clinical" provider in San Francisco, California. Her current practice location is
100 Blanken Ave, San Francisco, California. You can reach out to her office (for appointments etc.) via phone at
(415) 330-5740.
Jennifer Marie Vazquez is licensed to practice in California (license number LCSW70924) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1467655266.
Healthcare Provider's Profile
| Full Name | Jennifer Marie Vazquez |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 100 Blanken Ave, San Francisco, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1467655266
- Provider Enumeration Date: 06/08/2007
- Last Update Date: 08/10/2018
Medicare PECOS Information:
- PECOS PAC ID: 8426451642
- Enrollment ID: I20210726003420
Medical Identifiers
Medical identifiers for Jennifer Marie Vazquez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467655266 | NPI | - | NPPES |
| 8905 | Other | | CBHS INTERNAL USE ONLY-COMMERCIAL NUMBER |
| 8905 | Other | | SFGH INTERNAL USE ONLY |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | ASW22649 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW70924 (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW70924 (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 Marie Vazquez is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jennifer Marie Vazquez, LCSW
24301 Southland Dr Ste 300,
Hayward, CA 94545-1546
Ph: (510) 300-3500 | Jennifer Marie Vazquez, LCSW
100 Blanken Ave,
San Francisco, CA 94134
Ph: (415) 330-5740 |
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