Jetza Sarai Valdez De La Rosa, ACSW is a
Social Worker - Clinical based in San Bernardino, California. Jetza Sarai Valdez De La Rosa is licensed to practice in California (license number 121943) and her current practice location is
1908 Business Center Dr Ste 220, San Bernardino, California. She can be reached at her office (for appointments etc.) via phone at
(909) 890-5930.
NPI number for Jetza Sarai Valdez De La Rosa is 1861056491 and her current mailing address is 1908 Business Center Dr Ste 220, San Bernardino, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861056491.
Healthcare Provider's Profile
| Full Name | Jetza Sarai Valdez De La Rosa |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1908 Business Center Dr Ste 220, San Bernardino, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1861056491
- Provider Enumeration Date: 04/29/2019
- Last Update Date: 04/15/2024
Medical Identifiers
Medical identifiers for Jetza Sarai Valdez De La Rosa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861056491 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 95334 (California) | Secondary |
| 104100000X | Social Worker | 95334 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 121943 (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. Jetza Sarai Valdez 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 |
|---|
Jetza Sarai Valdez De La Rosa, ACSW
1908 Business Center Dr Ste 220,
San Bernardino, CA 92408-3468
Ph: (909) 890-5930 | Jetza Sarai Valdez De La Rosa, ACSW
1908 Business Center Dr Ste 220,
San Bernardino, CA 92408-3468
Ph: (909) 890-5930 |
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