Jeralyn E Bolanos, LCSW is a
Social Worker - Clinical based in Cerritos, California. Jeralyn E Bolanos is licensed to practice in California (license number LCSW118720) and her current practice location is
11050 Artesia Blvd Ste F, Cerritos, California. She can be reached at her office (for appointments etc.) via phone at
(562) 860-8838.
NPI number for Jeralyn E Bolanos is 1922586072 and her current mailing address is 11050 Artesia Blvd Ste F, Cerritos, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922586072.
Healthcare Provider's Profile
| Full Name | Jeralyn E Bolanos |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
|---|
| Location | 11050 Artesia Blvd Ste F, Cerritos, 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: 1922586072
- Provider Enumeration Date: 07/31/2018
- Last Update Date: 12/07/2023
Medical Identifiers
Medical identifiers for Jeralyn E Bolanos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922586072 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 97310 (California) | Secondary |
| 104100000X | Social Worker | ACSW97310 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | ACSW97310 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW118720 (California) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
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. Jeralyn E Bolanos 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 |
|---|
Jeralyn E Bolanos, LCSW
11050 Artesia Blvd Ste F,
Cerritos, CA 90703-2542
Ph: (562) 860-8838 | Jeralyn E Bolanos, LCSW
11050 Artesia Blvd Ste F,
Cerritos, CA 90703-2542
Ph: (562) 860-8838 |
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