Jury Candelario Iii, LCSW is a
Social Worker - Clinical based in Los Angeles, California. Jury Candelario Iii is licensed to practice in California (license number 106442) and his current practice location is
3055 Wilshire Blvd Ste 300, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at
(213) 553-1832.
NPI number for Jury Candelario Iii is 1629586235 and his current mailing address is 3055 Wilshire Blvd Ste 300, Los Angeles, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629586235.
Healthcare Provider's Profile
| Full Name | Jury Candelario Iii |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
|---|
| Location | 3055 Wilshire Blvd Ste 300, Los Angeles, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1629586235
- Provider Enumeration Date: 01/17/2018
- Last Update Date: 01/14/2022
Medical Identifiers
Medical identifiers for Jury Candelario Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629586235 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 87611 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 106442 (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. Jury Candelario Iii 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 |
|---|
Jury Candelario Iii, LCSW
3055 Wilshire Blvd Ste 300,
Los Angeles, CA 90010-1147
Ph: (213) 553-1832 | Jury Candelario Iii, LCSW
3055 Wilshire Blvd Ste 300,
Los Angeles, CA 90010-1147
Ph: (213) 553-1832 |
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