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General NPI Number Information
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NPI Number | 1114879806
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Entity Type | Organization
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Legal Business Name | JIB LICENSED CLINICAL SOCIAL WORKER INC.
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Dates
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Enumeration Date | 02/13/2026
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Last Update Date | 02/15/2026
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Provider Practice Location Address
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Address Line | 510 SOUTH VERMONT AVE
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City | LOS ANGELES
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State | CA
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Zip | 90020
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Country | US
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Telephone | 818-308-5746
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Fax |
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Provider Business Mailing Address
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Address Line | 11684 VENTURA BLVD # 1050
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City | STUDIO CITY
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State | CA
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Zip | 91604-2699
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Country | US
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Telephone | 818-308-5746
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Fax |
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Authorized Official
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Title or Position | CEO/ FOUNDER
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Name | MS. JENNIFER BRIZUELA
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Credential | LCSW
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Telephone | 818-308-5746
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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