Jessica Souza, ASW is a
Social Worker based in San Rafael, California. Jessica Souza is licensed to practice in * (Not Available) (license number ) and her current practice location is
3270 Kerner Blvd, Suite A, San Rafael, California. She can be reached at her office (for appointments etc.) via phone at
(415) 457-6964.
NPI number for Jessica Souza is 1053716704 and her current mailing address is 241 Reed St, Mill Valley, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053716704.
Healthcare Provider's Profile
| Full Name | Jessica Souza |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 3270 Kerner Blvd, San Rafael, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1053716704
- Provider Enumeration Date: 10/23/2014
- Last Update Date: 08/05/2024
Medical Identifiers
Medical identifiers for Jessica Souza such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053716704 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | 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 Souza 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 Souza, ASW
241 Reed St,
Mill Valley, CA 94941-4443
Ph: () - | Jessica Souza, ASW
3270 Kerner Blvd, Suite A,
San Rafael, CA 94901-4840
Ph: (415) 457-6964 |
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