TAKENYA CHIMENE CLARK-JEFFERIES LCSW
NPI 1205087657
Social Worker in Grand Terrace, CA
About Takenya Chimene Clark-jefferies Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TAKENYA CHIMENE CLARK-JEFFERIES LCSW (NPI 1205087657) is an individual social worker in Grand Terrace, California, licensed in California (LCS#62241) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Takenya Chimene Clark-jefferies Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND TERRACE, CA 92313
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205087657, enumerated as an "individual" on October 03, 2008.
The provider is located at 12139 MOUNT VERNON AVE STE 104 GRAND TERRACE, CA 92313 and the phone number is (909) 452-5857.
Social Worker with taxonomy code 104100000X.