Ketzia Escudero, is a
Social Worker based in Alameda, California. Ketzia Escudero is licensed to practice in California (license number 116623) and her current practice location is
2325 Clement Ave Ste A, Alameda, California. She can be reached at her office (for appointments etc.) via phone at
(510) 629-6300.
NPI number for Ketzia Escudero is 1053930396 and her current mailing address is 2325 Clement Ave Ste A, Alameda, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053930396.
Healthcare Provider's Profile
| Full Name | Ketzia Escudero |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 2325 Clement Ave Ste A, Alameda, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1053930396
- Provider Enumeration Date: 04/15/2020
- Last Update Date: 07/25/2023
Medical Identifiers
Medical identifiers for Ketzia Escudero such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053930396 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 116623 (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. Ketzia Escudero 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 |
|---|
Ketzia Escudero,
2325 Clement Ave Ste A,
Alameda, CA 94501-7061
Ph: (510) 629-6300 | Ketzia Escudero,
2325 Clement Ave Ste A,
Alameda, CA 94501-7061
Ph: (510) 629-6300 |
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