Jillian Joye Modawell, LCSW is a
Community Health Worker based in Oakland, California. Jillian Joye Modawell is licensed to practice in * (Not Available) (license number ) and her current practice location is
629 Oakland Ave, Oakland, California. She can be reached at her office (for appointments etc.) via phone at
(510) 318-6137.
NPI number for Jillian Joye Modawell is 1588020226 and her current mailing address is 2275 Arlington Dr, San Leandro, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1588020226.
Healthcare Provider's Profile
Full Name | Jillian Joye Modawell |
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Gender | Female |
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Speciality | Community Health Worker |
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Location | 629 Oakland Ave, Oakland, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1588020226
- Provider Enumeration Date: 01/11/2016
- Last Update Date: 02/26/2019
Medical Identifiers
Medical identifiers for Jillian Joye Modawell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588020226 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
172V00000X | Community Health Worker | (* (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. Jillian Joye Modawell 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 |
Jillian Joye Modawell, LCSW 2275 Arlington Dr, San Leandro, CA 94578-1132 Ph: (510) 317-1444 | Jillian Joye Modawell, LCSW 629 Oakland Ave, Oakland, CA 94611 Ph: (510) 318-6137 |
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