Jennifer Hulsha Cabanas
Individual provider Active NPI Social Worker · La Verne, CA
NPI 1497399257 · NPPES record last updated Aug 6, 2024
Key facts
- NPI
- 1497399257
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- ASW98922 (CA)
- Practice address
- 1350 3Rd St
La Verne, CA 91750-5201 - Phone
- (909) 593-2581
- NPI assigned
- Nov 4, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW98922 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Youth Services | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | ASW98922 | CA | Yes |
Addresses
Primary practice location
1350 3Rd St
La Verne, CA 91750-5201
Mailing address
1350 3Rd St
La Verne, CA 91750-5201
Phone (909) 593-2581
Other providers in La Verne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.