Mr Jezreel Martin Supetran, in Simi Valley, CA - Medicare Clinical Social Worker Provider

Mr Jezreel Martin Supetran, is a medicare enrolled "Social Worker - Clinical" provider in Simi Valley, California. He graduated from medical school in 2010 and has 16 years of diverse experience with area of expertise as Clinical Social Worker. His current practice location is 1750 Heywood St Unit B, Simi Valley, California. You can reach out to his office (for appointments etc.) via phone at (805) 694-8368.

Mr Jezreel Martin Supetran is licensed to practice in California (license number 61376) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1629301213.

Contact Information

	Mr Jezreel Martin Supetran,
	1750 Heywood St Unit B, Simi Valley, CA 93065-6552
	(805) 694-8368
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jezreel Martin Supetran
Gender	Male
Speciality	Clinical Social Worker
Experience	16 Years
Location	1750 Heywood St Unit B, Simi Valley, California
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Jezreel Martin Supetran graduated from medical school in 2010

NPI Data:

NPI Number: 1629301213
Provider Enumeration Date: 09/14/2009
Last Update Date: 03/16/2026

Medicare PECOS Information:

PECOS PAC ID: 1557830601
Enrollment ID: I20260518002912

Medical Identifiers

Medical identifiers for Mr Jezreel Martin Supetran such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629301213	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	61376 (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. Mr Jezreel Martin Supetran is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Jezreel Martin Supetran, 1000 S Fremont Ave Unit 34, Alhambra, CA 91803-8867 Ph: (626) 997-4953	Mr Jezreel Martin Supetran, 1750 Heywood St Unit B, Simi Valley, CA 93065-6552 Ph: (805) 694-8368

Reviews and Comments

Social Worker in Simi Valley, CA

Ms. Julie Cristiano, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3855-f Alamo St, Suite 2032, Simi Valley, CA 93063 Phone: 805-582-7505 Fax: 805-582-7514
Betty Gutman, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1424 Madera Rd, Simi Valley, CA 93065 Phone: 805-522-5722 Fax: 805-915-4141
Mrs. Alexis Carmen Lopez, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1227 E Los Angeles Ave, Simi Valley, CA 93065 Phone: 805-582-4080 Fax: 805-579-6010
Rebecca Lomonaco, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2655 1st St Ste 250, Simi Valley, CA 93065 Phone: 805-214-8342
Maureen Patricia Finkle, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1687 Erringer Rd Ste 106, Simi Valley, CA 93065 Phone: 818-755-8876
Mirna Pina, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2900 N Madera Rd, Simi Valley, CA 93065 Phone: 805-253-3184
Ms. Rachel Leah Benoun, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2919 Estilita Way Unit B, 23388 Mulholland Dr. Mailstop 84, Woodland Hills, Ca. 9, Simi Valley, CA 93063 Phone: 805-630-3457

Mr Jezreel Martin Supetran, - Medicare Clinical Social Worker in Simi Valley, CA