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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEREMY MARCILLA, LCSW

Active Sole Proprietor

JEREMY MARCILLA, LCSW is a Clinical Social Worker healthcare provider located in DIAMOND BAR, California. NPI 1568287498 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · DIAMOND BAR, CA

Registration Details

NPI Number
1568287498
Provider Type
Individual
Gender
Male
NPI Issued
Nov 15, 2024 (1.7368607847501 yrs)
Last Updated
Nov 15, 2024
License
121713 (CA)
Sole Proprietor
Yes

Practice Information

Address
22871 HILTON HEAD DR UNIT 227
DIAMOND BAR, CA, 917654409
Browse CA providers · Browse ZIP 91765
Phone
9092634451
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in DIAMOND BAR, CA

Name Credential NPI
MRS. MAY FONG-CHANG LCSW 1376678524
MR. WILLIAM M FUJIHARA 1902086721
LORENA MORENO LCSW 1477705309
OSCAR PEREZ LCSW 1689811911
BONNIE YOO LCSW 1194008532
MRS. UCHE PHYLLIS ASIODU LCSW 1285078790
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.