Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER LISA MADRID
ActiveJENNIFER LISA MADRID is a Social Worker healthcare provider located in PETALUMA, California. NPI 1578912481 is currently active in the NPPES registry. Verify at CMS.
Social Worker · PETALUMA, CA
Registration Details
- NPI Number
- 1578912481
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 10, 2016 (10.201517721204 yrs)
- Last Updated
- Dec 19, 2022
- Licenses
-
PT34767 (CA)109962 (CA)
Practice Information
- Address
-
2032 APPALOOSA DRPETALUMA, CA, 949544639Browse CA providers · Browse ZIP 94954
- Phone
- 7073222018
- Primary Specialty
-
Social Worker
104100000X
- Additional Specialty
- Social Worker
Other Social Worker Providers in PETALUMA, CA
| Name | Credential | NPI |
|---|---|---|
| MS. CHERYL L JERN | LCSW MFT | 1386750560 |
| MS. MARY SLOAN GORMAN | LCSW | 1477663573 |
| MR. KIRK E JARRETT | ASW | 1407221237 |
| JILLIAN MARIE JANISEN | ASW | 1265186951 |
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.