| Be Resilient Inc | |
|
1601 Carmen Dr # 215g Camarillo CA 93010-3105 | |
| (805) 205-5797 | |
| Not Available |
| Full Name | Be Resilient Inc |
|---|---|
| Speciality | Social Worker |
| Location | 1601 Carmen Dr # 215g, Camarillo, California |
| Authorized Official Name and Position | Jacqueline Parodi (CEO) |
| Authorized Official Contact | 8052055797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Be Resilient Inc 1601 Carmen Dr # 215g Camarillo CA 93010-3105 Ph: (805) 205-5797 | Be Resilient Inc 1601 Carmen Dr # 215g Camarillo CA 93010-3105 Ph: (805) 205-5797 |
| NPI Number | 1780173260 |
|---|---|
| Provider Enumeration Date | 05/09/2018 |
| Last Update Date | 11/27/2022 |
| Certification Date | 11/27/2022 |
| Medicare PECOS PAC ID | 3577818194 |
|---|---|
| Medicare Enrollment ID | O20180621001732 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780173260 | NPI | - | NPPES |
| 1508982901 | Other | CA | NIP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCS22172 (California) | Primary |
| Provider Name | Jacqueline Nicole Parodi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508982901 PECOS PAC ID: 0941591754 Enrollment ID: I20160627001245 |
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