Provider Profile

Jezreel M. Supetran

Unclaimed Profile

About Jezreel Supetran

Jezreel M. Supetran is a clinical social worker based in Simi Valley, CA. The provider's National Provider Identifier (NPI) is 1629301213.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2010

Specialty

Credentials & Licensing

CA · Licensed Clinical Social WorkerCalifornia Board of Behavioral Sciences
No. 61376CurrentExpires Jul 2027Since 2014
NPINational Provider Identifier
1629301213Issued 2009

Snapshot · verify with the board ↗

Medicare information

Accepts Medicare assignmentSometimes (reported per claim)
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Jezreel M. Supetran specialize in?

Jezreel M. Supetran is a clinical social worker in Simi Valley, CA. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Jezreel M. Supetran located?

Jezreel M. Supetran is listed at 1750 Heywood St Unit B, Simi Valley, CA 93065. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Jezreel M. Supetran's phone number?

The number on file is (805) 694-8368. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Jezreel M. Supetran?

Jezreel M. Supetran's National Provider Identifier is 1629301213. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Jezreel M. Supetran train?

Jezreel M. Supetran attended Other, graduating in 2010. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Jezreel M. Supetran have?

Jezreel M. Supetran has 16 years experience. Calculated from a graduation year of 2010, reported in the CMS National Downloadable File.

CMS public data

Is Jezreel M. Supetran's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Jezreel M. Supetran. If this is you, claiming it is free.

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