MR. JEZREEL MARTIN SUPETRAN
NPI 1629301213
Social Worker - Clinical in Simi Valley, CA
About Mr. Jezreel Martin Supetran NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JEZREEL MARTIN SUPETRAN (NPI 1629301213) is an individual clinical provider in Simi Valley, California, licensed in California (61376) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Group Practice 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)
Mr. Jezreel Martin Supetran is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 93065 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jezreel Supetran's NPI number?
The NPI number for Jezreel Supetran is 1629301213. It was assigned to this individual provider in the NPPES registry on September 14, 2009.
Where is Jezreel Supetran located?
Jezreel Supetran practices at 1750 Heywood St Unit B, Simi Valley, CA 93065. The listed phone number is (805) 694-8368.
What is Jezreel Supetran's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Jezreel Supetran enrolled in Medicare?
Yes. Jezreel Supetran is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jezreel Supetran was last updated on March 16, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.
