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NPI Code Detail

MEDICARE: JESSICA SCHNETZ-O'BRIEN MSW, LCSW

MEDICARE:   JESSICA  SCHNETZ-O'BRIEN  MSW, 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 Worker87056CA

General Provider Information

NPI Number : 1598121014
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA SCHNETZ-O'BRIEN MSW, LCSW
Provider Business Mailing Address
First Line : 3570 KIMBERLY RD
Second Line :
City : CAMERON PARK
State : CA
Zip : 95682-9037
Country : US
Telephone Number : 916-799-6991
Fax Number : 530-644-8563
Provider Business Practice Location Address
First Line : 4805 GOLDEN FOOTHILL PKWY
Second Line :
City : EL DORADO HILLS
State : CA
Zip : 95762-9651
Country : US
Telephone Number : 530-644-2412
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2016
Last Update Date : 08/05/2024

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