Ms Kimberly Erin Jackson-massaro, MSW/LCSW is a
Social Worker based in Clovis, California. Ms Kimberly Erin Jackson-massaro is licensed to practice in * (Not Available) (license number ) and her current practice location is
3031 Morris Ave, Clovis, California. She can be reached at her office (for appointments etc.) via phone at
(619) 578-9255.
NPI number for Ms Kimberly Erin Jackson-massaro is 1699969188 and her current mailing address is 3625 1st Ave Apt 38, San Diego, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699969188.
Healthcare Provider's Profile
| Full Name | Ms Kimberly Erin Jackson-massaro |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 3031 Morris Ave, Clovis, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1699969188
- Provider Enumeration Date: 08/28/2007
- Last Update Date: 12/17/2022
Medical Identifiers
Medical identifiers for Ms Kimberly Erin Jackson-massaro such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699969188 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (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. Ms Kimberly Erin Jackson-massaro 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 Kimberly Erin Jackson-massaro, MSW/LCSW
3625 1st Ave Apt 38,
San Diego, CA 92103-4033
Ph: (619) 578-9255 | Ms Kimberly Erin Jackson-massaro, MSW/LCSW
3031 Morris Ave,
Clovis, CA 93619-6904
Ph: (619) 578-9255 |
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