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NPI Code Detail

MEDICARE: JESSICA FLORES LCSW

MEDICARE:   JESSICA  FLORES  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker085791-1NY
21041C0700XClinical Social Worker82295CA

General Provider Information

NPI Number : 1104190891
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA FLORES LCSW
Provider Business Mailing Address
First Line : 1411 E 31ST ST
Second Line :
City : OAKLAND
State : CA
Zip : 94602-1018
Country : US
Telephone Number : 510-230-3542
Fax Number :
Provider Business Practice Location Address
First Line : 1411 E 31ST ST
Second Line :
City : OAKLAND
State : CA
Zip : 94602-1018
Country : US
Telephone Number : 510-230-3542
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2012
Last Update Date : 04/12/2026

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Directions to “ JESSICA FLORES LCSW” Practice Location

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