Parodi, Jacqueline Nicole

Parodi, Jacqueline Nicole is an sole proprietor health care provider with primary practice located at 5497 Seneca Pl , Simi Valley CA 93063-2056. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Parodi, Jacqueline Nicole can be contacted via phone (805) 205-5797.

Contact Information

Primary practice address
5497 Seneca Pl Simi Valley CA 93063-2056
Phone: (805) 205-5797
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS22172 California

Profile Details

NPI number 1508982901
LBN Legal business name Parodi, Jacqueline Nicole
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 2007
Last updated Oct 15th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508982901 NPPES
California Other LCS 22172 CLINICAL LICENSE NUMBER

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