Jennifer Chwialkowski, is a
Psychologist - School based in Kelseyville, California. Jennifer Chwialkowski is licensed to practice in California (license number 230171804) and her current practice location is
4410 Konocti Rd, Kelseyville, California. She can be reached at her office (for appointments etc.) via phone at
(707) 279-4435.
NPI number for Jennifer Chwialkowski is 1003659608 and her current mailing address is 10515 Rosa Trl, Kelseyville, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003659608.
Healthcare Provider's Profile
Full Name | Jennifer Chwialkowski |
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Gender | Female |
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Speciality | Psychologist - School |
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Location | 4410 Konocti Rd, Kelseyville, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003659608
- Provider Enumeration Date: 06/13/2024
- Last Update Date: 06/13/2024
Medical Identifiers
Medical identifiers for Jennifer Chwialkowski such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003659608 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TS0200X | Psychologist - School | 230171804 (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. Jennifer Chwialkowski 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 |
Jennifer Chwialkowski, 10515 Rosa Trl, Kelseyville, CA 95451-2820 Ph: (707) 279-4435 | Jennifer Chwialkowski, 4410 Konocti Rd, Kelseyville, CA 95451-9398 Ph: (707) 279-4435 |
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