| Jennifer N Yoder P.a. | |
|
7050 W Palmetto Park Rd Ste 15-149 Boca Raton FL 33433-3426 | |
| (954) 417-3820 | |
| Not Available |
| Full Name | Jennifer N Yoder P.a. |
|---|---|
| Speciality | Social Worker |
| Location | 7050 W Palmetto Park Rd Ste 15-149, Boca Raton, Florida |
| Authorized Official Name and Position | Jennifer Yoder (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 9544173820 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer N Yoder P.a. 7050 W Palmetto Park Rd Ste 15-149 Boca Raton FL 33433-3426 Ph: (954) 417-3820 | Jennifer N Yoder P.a. 7050 W Palmetto Park Rd Ste 15-149 Boca Raton FL 33433-3426 Ph: (954) 417-3820 |
| NPI Number | 1578034419 |
|---|---|
| Provider Enumeration Date | 12/17/2018 |
| Last Update Date | 09/09/2021 |
| Certification Date | 09/09/2021 |
| Medicare PECOS PAC ID | 6002146032 |
|---|---|
| Medicare Enrollment ID | O20190918000589 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578034419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Jennifer N Yoder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760899868 PECOS PAC ID: 8325361801 Enrollment ID: I20150108002241 |
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