Jennifer Lynn Drissen, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

114404 Issued in CA

Practice address

40925 County Center Dr Ste 101
Temecula, CA 92591-6054

Phone

(951) 600-6420

NPI assigned

Aug 24, 2017

Last updated

Mar 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1952828543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40925 COUNTY CENTER DR STE 101",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925916054",
            "telephone_number": "951-600-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40925 COUNTY CENTER DR STE 101",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925916054",
            "telephone_number": "951-600-6420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31700 Casino Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lake Elsinore",
            "state": "CA",
            "postal_code": "925304525",
            "country_code": "US",
            "telephone_number": "951-471-4600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRISSEN",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-24",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "114404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melinda Geremillo Drake, LISW-CP AND AP, LCSW
• Sandra Drake, LMFT
• Shyla D Drake
• Kimberly Ann Drayton
• Elaine C Dresbach, MD
• Tanjula Drumgole, MFT
• Leticia Y Du, M.D.
• Mackenzie Duarte, OTR/L
• Rosette Duarte, RD
• Jenna M Dubiansky, PT, DPT

• Clinical Social Worker in Temecula, CA
• Providers in Temecula, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.