| Jennifer Brady Licensed Clinical Social Worker Pc | |
|
2660 Townsgate Rd Ste 520 Westlake Village CA 91361-5712 | |
| (310) 907-6580 | |
| Not Available |
| Full Name | Jennifer Brady Licensed Clinical Social Worker Pc |
|---|---|
| Speciality | Social Worker |
| Location | 2660 Townsgate Rd Ste 520, Westlake Village, California |
| Authorized Official Name and Position | Jennifer Brady (OWNER) |
| Authorized Official Contact | 3109076580 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Brady Licensed Clinical Social Worker Pc 490 Novara Way Oak Park CA 91377-5556 Ph: (310) 907-6580 | Jennifer Brady Licensed Clinical Social Worker Pc 2660 Townsgate Rd Ste 520 Westlake Village CA 91361-5712 Ph: (310) 907-6580 |
| NPI Number | 1891504874 |
|---|---|
| Provider Enumeration Date | 01/03/2025 |
| Last Update Date | 03/03/2025 |
| Certification Date | 03/03/2025 |
| Medicare PECOS PAC ID | 3870013576 |
|---|---|
| Medicare Enrollment ID | O20250225002591 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891504874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jennifer L Brady |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831405356 PECOS PAC ID: 1951662584 Enrollment ID: I20180222002162 |
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