Jessica De La Rosa, is a
Social Worker - Clinical based in Redlands, California. Jessica De La Rosa is licensed to practice in California (license number LCSW90858) and her current practice location is
1710 Barton Rd, Redlands, California. She can be reached at her office (for appointments etc.) via phone at
(909) 558-9275.
NPI number for Jessica De La Rosa is 1477969079 and her current mailing address is 1710 Barton Rd, Redlands, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477969079.
Healthcare Provider's Profile
| Full Name | Jessica De La Rosa |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1710 Barton Rd, Redlands, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1477969079
- Provider Enumeration Date: 07/03/2014
- Last Update Date: 10/14/2020
Medical Identifiers
Medical identifiers for Jessica De La Rosa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477969079 | NPI | - | NPPES |
| 85-1546153 | Other | CA | DE LA ROSA COUNSELING SERVICES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW90858 (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. Jessica De La Rosa 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 |
|---|
Jessica De La Rosa,
1710 Barton Rd,
Redlands, CA 92373-5304
Ph: (909) 558-9275 | Jessica De La Rosa,
1710 Barton Rd,
Redlands, CA 92373-5304
Ph: (909) 558-9275 |
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