Jennifer Walton-wetzel, LCSW is a
Social Worker - Clinical based in Port Costa, California. Jennifer Walton-wetzel is licensed to practice in California (license number 96627) and her current practice location is
60 Canyon Lake Dr Ste 97, Port Costa, California. She can be reached at her office (for appointments etc.) via phone at
(323) 741-6191.
NPI number for Jennifer Walton-wetzel is 1033722863 and her current mailing address is 60 Canyon Lake Dr Ste 97, Port Costa, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033722863.
Healthcare Provider's Profile
Full Name | Jennifer Walton-wetzel |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 60 Canyon Lake Dr Ste 97, Port Costa, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1033722863
- Provider Enumeration Date: 08/31/2020
- Last Update Date: 04/26/2025
Medical Identifiers
Medical identifiers for Jennifer Walton-wetzel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033722863 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 96627 (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 Walton-wetzel 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 Walton-wetzel, LCSW 60 Canyon Lake Dr Ste 97, Port Costa, CA 94569-1000 Ph: (323) 741-6191 | Jennifer Walton-wetzel, LCSW 60 Canyon Lake Dr Ste 97, Port Costa, CA 94569-1000 Ph: (323) 741-6191 |
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