MEDICARE: MS. JESSICA MARIE PEDERSON

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	87979	CA

General Provider Information

NPI Number	:	1487926275
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JESSICA MARIE PEDERSON

Provider Business Mailing Address
First Line	:	15 ILAHEE LN STE 150
Second Line	:
City	:	CHICO
State	:	CA
Zip	:	95973-7205
Country	:	US
Telephone Number	:	530-712-3755
Fax Number	:

Provider Business Practice Location Address
First Line	:	15 ILAHEE LN STE 150
Second Line	:
City	:	CHICO
State	:	CA
Zip	:	95973-7205
Country	:	US
Telephone Number	:	530-712-3755
Fax Number	:

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

Provider Enumeration Date	:	02/08/2012
Last Update Date	:	07/31/2020

Similar Medicare Providers

1437098621 — WILDFLOWER PEDIATRICS INC
Practice Location Address:

19 ILAHEE LN
CHICO, CA
95973-7205

Practice Phone: 530-570-0377
Practice Fax: 530-898-1204

1215089453 — MS. KELSEY ADKINS LMFT
Practice Location Address:

15 ILAHEE LN STE 100
CHICO, CA
95973-7205

Practice Phone: 530-828-1290
Practice Fax:

1609916907 — MRS. CHERYL SUE BERGE LMFT
Practice Location Address:

15 ILAHEE LN STE 100
CHICO, CA
95973-7205

Practice Phone: 530-624-2473
Practice Fax:

1760604367 — GENEVIEVE BRINK-CAPRIOLA LCSW
Practice Location Address:

15 ILAHEE LN STE 150
CHICO, CA
95973-7205

Practice Phone: 530-876-3174
Practice Fax: 530-876-2183

1033535190 — SHAUNA MICHAELS LCSW
Practice Location Address:

15 ILAHEE LN STE 100
CHICO, CA
95973-7205

Practice Phone: 530-514-9408
Practice Fax:

1285111229 — VERONICA VELAZQUEZ ASW
Practice Location Address:

15 ILAHEE LN STE 100
CHICO, CA
95973-7205

Practice Phone: 530-403-8610
Practice Fax:

Directions to “ MS. JESSICA MARIE PEDERSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.