MEDICARE: DR. JODI ROWE LCSW

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
1	1041C0700X	Clinical Social Worker

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	LCSW14503	OTHER	CA	STATE LICENSE NUMBER

General Provider Information

NPI Number	:	1225063621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JODI ROWE LCSW

Provider Business Mailing Address
First Line	:	7040 DEVERON RIDGE RD
Second Line	:
City	:	WEST HILLS
State	:	CA
Zip	:	91307-1807
Country	:	US
Telephone Number	:	818-609-7555
Fax Number	:	818-294-7348

Provider Business Practice Location Address
First Line	:	7040 DEVERON RIDGE RD
Second Line	:
City	:	WEST HILLS
State	:	CA
Zip	:	91307-1807
Country	:	US
Telephone Number	:	818-609-7555
Fax Number	:	818-294-7348

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	06/16/2025

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