Healthcare Provider Details

I. General information

NPI: 1477150142
Provider Name (Legal Business Name): JENNIFER LYNN MESSER ASW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2020
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24930 AVENUE STANFORD
SANTA CLARITA CA
91355-1272
US

IV. Provider business mailing address

24930 AVENUE STANFORD
SANTA CLARITA CA
91355-1272
US

V. Phone/Fax

Practice location:
  • Phone: 661-294-5309
  • Fax:
Mailing address:
  • Phone: 661-294-5309
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number117558
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: