Jennifer Renee Ade, LCSW
Individual provider Active NPI Clinical Social Worker · San Pedro, CA
NPI 1992348098 · NPPES record last updated Oct 21, 2019
Key facts
- NPI
- 1992348098
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 19881 (CA)
- Practice address
- 146 N Santa Cruz PL
San Pedro, CA 90732-2922 - Phone
- (310) 344-9200
- Fax
- (310) 514-4313
- NPI assigned
- Oct 21, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 19881 | CA | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 19881 | CA | Yes |
Addresses
Primary practice location
146 N Santa Cruz PL
San Pedro, CA 90732-2922
Mailing address
146 N Santa Cruz PL
San Pedro, CA 90732-2922
Phone (310) 344-9200
Other providers in San Pedro, CA
- Aaron M Pak DC a Professional Chiropractic Corp
- Payandeh Abadee
- Brigida Momand Abdelnaby
- Above and Beyond Care Providers,Inc.
- Whitney Rose Acquafresca I
- Advanced Balance Physical Therapy Co.
- Advanced Balance Studio
- Advanced Health Centers, Inc.
- Advanced Pain Treatment Medical Center
- Advanced Pain Treatment Medical Center, Inc.
All providers in San Pedro, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2019. 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.