Cody Jean, LCSW is a
Social Worker - Clinical based in Tracy, California. Cody Jean is licensed to practice in Georgia (license number CSW007304) and her current practice location is
2655 Henley Pkwy Unit 7722, Tracy, California. She can be reached at her office (for appointments etc.) via phone at
(678) 789-6109.
NPI number for Cody Jean is 1043896202 and her current mailing address is 2455 Naglee Rd # 110, Tracy, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043896202.
Healthcare Provider's Profile
Full Name | Cody Jean |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2655 Henley Pkwy Unit 7722, Tracy, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1043896202
- Provider Enumeration Date: 03/18/2021
- Last Update Date: 08/17/2021
Medical Identifiers
Medical identifiers for Cody Jean such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043896202 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | CSW007304 (Georgia) | Secondary |
1041C0700X | Social Worker - Clinical | CSW007304 (Georgia) | 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. Cody Jean 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 |
Cody Jean, LCSW 2455 Naglee Rd # 110, Tracy, CA 95304-7324 Ph: (678) 789-6109 | Cody Jean, LCSW 2655 Henley Pkwy Unit 7722, Tracy, CA 95377-2238 Ph: (678) 789-6109 |
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