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NPI Code Detail

MEDICARE: JENNIFER ZAPATA LCSW

MEDICARE: JENNIFER ZAPATA 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
1101Y00000XCounselorASW25678CA
21041C0700XClinical Social Worker72907CA

General Provider Information

NPI Number : 1831595495
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER ZAPATA LCSW
Provider Business Mailing Address
First Line : 3517 CAMINO DEL RIO S STE 407
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-4028
Country : US
Telephone Number : 619-955-8905
Fax Number :
Provider Business Practice Location Address
First Line : 3517 CAMINO DEL RIO S STE 407
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-4028
Country : US
Telephone Number : 619-955-8905
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2014
Last Update Date : 05/31/2019

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Directions to “ JENNIFER ZAPATA LCSW” Practice Location

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