Miss Jessica Marisol Moreno, INTERN LCSW is a
Student In An Organized Health Care Education/training Program based in San Fernando, California. Miss Jessica Marisol Moreno is licensed to practice in * (Not Available) (license number ) and her current practice location is
566 S Brand Blvd, San Fernando, California. She can be reached at her office (for appointments etc.) via phone at
(818) 898-0223.
NPI number for Miss Jessica Marisol Moreno is 1386862910 and her current mailing address is 566 S Brand Blvd, San Fernando, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386862910.
Healthcare Provider's Profile
| Full Name | Miss Jessica Marisol Moreno |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 566 S Brand Blvd, San Fernando, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1386862910
- Provider Enumeration Date: 04/20/2007
- Last Update Date: 02/17/2023
Medical Identifiers
Medical identifiers for Miss Jessica Marisol Moreno such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386862910 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (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. Miss Jessica Marisol Moreno 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 |
|---|
Miss Jessica Marisol Moreno, INTERN LCSW
566 S Brand Blvd,
San Fernando, CA 91340-4002
Ph: (323) 836-4180 | Miss Jessica Marisol Moreno, INTERN LCSW
566 S Brand Blvd,
San Fernando, CA 91340-4002
Ph: (818) 898-0223 |
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