Healthcare Provider Details

I. General information

NPI: 1982273751
Provider Name (Legal Business Name): JENEA HOWARD MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2021
Last Update Date: 02/12/2025
Certification Date: 02/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7200 SOMERSET BLVD UNIT 1771
PARAMOUNT CA
90723-8788
US

IV. Provider business mailing address

7200 SOMERSET BLVD UNIT 1771
PARAMOUNT CA
90723-8788
US

V. Phone/Fax

Practice location:
  • Phone: 323-233-0425
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number128166
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: