Ms Jennie Lynn Hollis, MSW INTERN is a
Social Worker - Clinical based in San Diego, California. Ms Jennie Lynn Hollis is licensed to practice in California (license number 27829) and her current practice location is
2204 National Ave, San Diego, California. She can be reached at her office (for appointments etc.) via phone at
(619) 515-2355.
NPI number for Ms Jennie Lynn Hollis is 1386711448 and her current mailing address is 2149 Woodwind Dr, Encinitas, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386711448.
Healthcare Provider's Profile
Full Name | Ms Jennie Lynn Hollis |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2204 National Ave, San Diego, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1386711448
- Provider Enumeration Date: 11/30/2006
- Last Update Date: 03/17/2018
Medical Identifiers
Medical identifiers for Ms Jennie Lynn Hollis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386711448 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 27829 (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. Ms Jennie Lynn Hollis 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 |
Ms Jennie Lynn Hollis, MSW INTERN 2149 Woodwind Dr, Encinitas, CA 92024-6434 Ph: (760) 724-9112 | Ms Jennie Lynn Hollis, MSW INTERN 2204 National Ave, San Diego, CA 92113-3615 Ph: (619) 515-2355 |
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