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NPI Code Detail

MEDICARE: JENNIFER THI LE ASW

MEDICARE: JENNIFER THI LE ASW
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
1104100000XSocial WorkerASW133933CA

General Provider Information

NPI Number : 1063388163
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER THI LE ASW
Provider Business Mailing Address
First Line : 1832 MONTE BELLA BLVD
Second Line :
City : SALINAS
State : CA
Zip : 93905-4926
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 700 PACIFIC ST
Second Line :
City : MONTEREY
State : CA
Zip : 93940-2815
Country : US
Telephone Number : 831-645-1200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2025
Last Update Date : 04/14/2026

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Directions to “ JENNIFER THI LE ASW” Practice Location

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