Jennifer Thawley, is a
Community Health Worker based in Oakland, California. Jennifer Thawley is licensed to practice in California (license number 107337) and her current practice location is
390 40th St, Oakland, California. She can be reached at her office (for appointments etc.) via phone at
(510) 899-3704.
NPI number for Jennifer Thawley is 1588248058 and her current mailing address is 390 40th St, Oakland, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1588248058.
Healthcare Provider's Profile
Full Name | Jennifer Thawley |
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Gender | Female |
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Speciality | Community Health Worker |
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Location | 390 40th St, Oakland, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1588248058
- Provider Enumeration Date: 05/10/2021
- Last Update Date: 11/28/2023
Medical Identifiers
Medical identifiers for Jennifer Thawley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588248058 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
104100000X | Social Worker | 107337 (California) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 107337 (California) | Secondary |
172V00000X | Community Health Worker | 107337 (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 Thawley 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 Thawley, 390 40th St, Oakland, CA 94609-2633 Ph: (510) 899-3704 | Jennifer Thawley, 390 40th St, Oakland, CA 94609-2633 Ph: (510) 899-3704 |
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