Jacqueline Marie Fajardo, LCSW is a
Social Worker - Clinical based in Dublin, California. Jacqueline Marie Fajardo is licensed to practice in California (license number 87322) and her current practice location is
5601 Arnold Rd Ste 200, Dublin, California. She can be reached at her office (for appointments etc.) via phone at
(925) 440-4593.
NPI number for Jacqueline Marie Fajardo is 1215342118 and her current mailing address is 5601 Arnold Rd Ste 200, Dublin, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215342118.
Healthcare Provider's Profile
Full Name | Jacqueline Marie Fajardo |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 5601 Arnold Rd Ste 200, Dublin, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1215342118
- Provider Enumeration Date: 06/30/2014
- Last Update Date: 03/01/2022
Medical Identifiers
Medical identifiers for Jacqueline Marie Fajardo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215342118 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 72017 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 87322 (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. Jacqueline Marie Fajardo 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 |
Jacqueline Marie Fajardo, LCSW 5601 Arnold Rd Ste 200, Dublin, CA 94568-7724 Ph: () - | Jacqueline Marie Fajardo, LCSW 5601 Arnold Rd Ste 200, Dublin, CA 94568-7724 Ph: (925) 440-4593 |
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