Jenny Phung, is a
Social Worker - Clinical based in Santa Rosa, California. Jenny Phung is licensed to practice in California (license number 117713) and her current practice location is
2225 Challenger Way, Santa Rosa, California. She can be reached at her office (for appointments etc.) via phone at
(707) 576-8181.
NPI number for Jenny Phung is 1730798273 and her current mailing address is 2225 Challenger Way, Santa Rosa, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730798273.
Healthcare Provider's Profile
Full Name | Jenny Phung |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2225 Challenger Way, Santa Rosa, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1730798273
- Provider Enumeration Date: 07/30/2020
- Last Update Date: 11/17/2023
Medical Identifiers
Medical identifiers for Jenny Phung such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730798273 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | 85539 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 117713 (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 Phung 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 Phung, 2225 Challenger Way, Santa Rosa, CA 95407-5441 Ph: (707) 576-8181 | Jenny Phung, 2225 Challenger Way, Santa Rosa, CA 95407-5441 Ph: (707) 576-8181 |
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