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General NPI Number Information
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NPI Number | 1669260501
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Entity Type | Individual
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Provider Name | JADA JOHNSON MSW
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Gender | Female
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Dates
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Enumeration Date | 04/29/2025
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 10810 PARAMOUNT BLVD STE 202
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City | DOWNEY
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State | CA
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Zip | 90241-3351
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Country | US
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Telephone | 562-231-6974
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Fax |
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Provider Business Mailing Address
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Address Line | 417 CENTINELA AVE APT 215
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City | INGLEWOOD
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State | CA
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Zip | 90302-3252
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Country | US
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Telephone | 662-832-3804
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | ASW128773
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License Number State | CA
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