Jerrica Chacon, is a
Social Worker - Clinical based in Pueblo, Colorado. Jerrica Chacon is licensed to practice in Colorado (license number CSW.09930703) and her current practice location is
1591 Taos Rd, Pueblo, Colorado. She can be reached at her office (for appointments etc.) via phone at
(719) 545-2746.
NPI number for Jerrica Chacon is 1790450856 and her current mailing address is 41 Montebello Rd Ste 204, Pueblo, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790450856.
Healthcare Provider's Profile
Full Name | Jerrica Chacon |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1591 Taos Rd, Pueblo, Colorado |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790450856
- Provider Enumeration Date: 08/11/2021
- Last Update Date: 07/24/2024
Medical Identifiers
Medical identifiers for Jerrica Chacon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790450856 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | CSW.09930703 (Colorado) | 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. Jerrica Chacon 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 |
Jerrica Chacon, 41 Montebello Rd Ste 204, Pueblo, CO 81001-1379 Ph: (719) 545-2746 | Jerrica Chacon, 1591 Taos Rd, Pueblo, CO 81006-1232 Ph: (719) 545-2746 |
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