Jenny Judith Rivera-cruz, is a
Social Worker - Clinical based in Venice, California. Jenny Judith Rivera-cruz is licensed to practice in California (license number LCSW85335) and her current practice location is
204 Hampton Dr, Venice, California. She can be reached at her office (for appointments etc.) via phone at
(310) 396-6468.
NPI number for Jenny Judith Rivera-cruz is 1306270400 and her current mailing address is 664 Brooks Ave Apt 318, Venice, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306270400.
Healthcare Provider's Profile
| Full Name | Jenny Judith Rivera-cruz |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
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| Location | 204 Hampton Dr, Venice, 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: 1306270400
- Provider Enumeration Date: 08/26/2013
- Last Update Date: 09/17/2018
Medical Identifiers
Medical identifiers for Jenny Judith Rivera-cruz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306270400 | NPI | - | NPPES |
| 101YM0800X | Other | CA | COUNSELOR MENTAL HEALTH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 62099 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW85335 (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. Jenny Judith Rivera-cruz 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 |
|---|
Jenny Judith Rivera-cruz,
664 Brooks Ave Apt 318,
Venice, CA 90291-3050
Ph: (310) 801-6199 | Jenny Judith Rivera-cruz,
204 Hampton Dr,
Venice, CA 90291-2623
Ph: (310) 396-6468 |
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