JACLYN DROWN (NPI# 1235482779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235482779 |
| Entity Type | Individual |
| Full Name | JACLYN DROWN |
| Credential | MSW, ACSW |
| Practice Address |
11080 W Olympic Blvd Los Angeles CA 90064-1937 |
| Mailing Address |
695 S Vermont Ave Los Angeles CA 90005-1349 |
| Practice Telephone | 3237662345 |
| Mailing Telephone | 2132514419 |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2020-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
ASW89877 | CA | Behavioral Health & Social Service Providers |
| N | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
11080 W OLYMPIC BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90064-1937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134158827 | Reeba Daine Ruvelson | Counselor | 11080 W Olympic Blvd, Los Angeles, CA 90064-1937 | 2006-07-03 |
| 1467065995 | Arthur L Sun | Student in an Organized Health Care Education/Training Program | 11080 W Olympic Blvd, Los Angeles, CA 90064-1937 | 2020-08-25 |
| 1689286064 | Leslie Rose | Student in an Organized Health Care Education/Training Program | 11080 W Olympic Blvd, Los Angeles, CA 90064-1937 | 2020-08-18 |
| 1760093942 | Michael Thomas Sheley | Student in an Organized Health Care Education/Training Program | 11080 W Olympic Blvd, Los Angeles, CA 90064-1937 | 2020-08-12 |
| 1598376642 | Madison Lee Murphy-sinclair | Student in an Organized Health Care Education/Training Program | 11080 W Olympic Blvd, Los Angeles, CA 90064-1937 | 2020-08-12 |
| 1821613035 | Jose Luis Navarro | Rehabilitation Practitioner | 11080 W Olympic Blvd, Los Angeles, CA 90064-1937 | 2020-06-12 |
| 1801420682 | Desiree Celina Triay | Registered Nurse | 11080 W Olympic Blvd, Los Angeles, CA 90064-1937 | 2020-03-02 |
| 1922564905 | Chinwe Margaret Chukwudebelu | Registered Nurse | 11080 W Olympic Blvd, Los Angeles, CA 90064-1937 | 2019-02-14 |
| 1285198788 | Jonathan Jay Medina | Community Health Worker | 11080 W Olympic Blvd, Los Angeles, CA 90064-1937 | 2019-01-29 |
| 1649741208 | Lydia Antonieta Boyce | Community Health Worker | 11080 W Olympic Blvd, Los Angeles, CA 90064-1937 | 2018-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727597 | Barbara K. Polland | Marriage & Family Therapist | 10533 Rountree Rd., Los Angeles, CA 90064 | 2020-10-16 |
| 1912542994 | Reproductive Medicine Associates of Socal Ambulatory Surgery Center | Clinic/Center | 11500 W Olympic Blvd, Ste# 150, Los Angeles, CA 90064 | 2019-11-13 |
| 1376022012 | Payersdirect, Inc. | Radiology | 11845 W Olympic Blvd Ste 1100w, Los Angeles, CA 90064 | 2018-08-13 |
| 1013404136 | Jeannie Wakamatsu | Dietitian, Registered | 10312 Almayo Ave., Suite 6, Los Angeles, CA 90064 | 2018-04-13 |
| 1487153474 | Victor Louie | Behavior Technician | 11835 W Olympic Blvd Suite 140e, Los Angeles, CA 90064 | 2018-02-06 |
| 1538683842 | Ana Grinfeld | Behavioral Analyst | 11835 W Olympic Blvd Ste 140e, Los Angeles, CA 90064 | 2017-07-28 |
| 1407386089 | Ovsanna Stepanyan | Rehabilitation Practitioner | 11080 W Olimpic Blvd, La, CA 90064 | 2017-06-15 |
| 1952768012 | Grace Gayles | Behavioral Analyst | 11835 W. Olympic Blvd., Suite 140e, Los Angeles, CA 90064 | 2016-01-20 |
| 1669841003 | Jessica Hildebrandt | Occupational Therapy Assistant | 2446 S Westgate Ave, Los Angeles, CA 90064 | 2015-09-16 |
| 1033592571 | Joshua Busse | Family Medicine | 11845 Olympic Boulevard, Los Angeles, CA 90064 | 2015-07-01 |
| Find all providers in zip 90064 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912506361 | Kathryn A Miller | Counselor | 1965 1/2 N Bronson Ave, Los Angeles, CA 90068-5601 | 2020-10-17 |
| 1669088464 | Bethel Los Angeles Community Development Corporation | Counselor | 7900 S Western Ave, Los Angeles, CA 90047-2715 | 2020-09-17 |
| 1346855244 | Sorenson Psychological and Assessment Services | Counselor | 12301 Wilshire Blvd Ste 413, Los Angeles, CA 90025-1051 | 2020-09-09 |
| 1841800190 | Daniela Sanchez | Counselor | 5081 Borland Rd, Los Angeles, CA 90032-3950 | 2020-08-02 |
| 1649888512 | David John Laing | Counselor | 3100 Riverside Dr Apt 220, Los Angeles, CA 90027-1481 | 2020-07-16 |
| 1366060659 | Amy H Kim | Counselor | 2152 Lemoyne St, Los Angeles, CA 90026-1950 | 2020-07-13 |
| 1083231435 | Leslie Gluck | Counselor | 11835 W Olympic Blvd Ste 815, Los Angeles, CA 90064-5056 | 2020-07-01 |
| 1104441112 | Barbara R Ponse | Counselor | 655 S Dunsmuir Ave Apt 201, Los Angeles, CA 90036-4087 | 2020-06-15 |
| 1033734264 | Shelley Baird Smith | Counselor | 265 S St Andrews Pl, Los Angeles, CA 90004-5029 | 2020-06-12 |
| 1801411566 | Tyler Grant Daly | Counselor | 4221 Wilshire Blvd # 290, Los Angeles, CA 90010-3512 | 2020-06-09 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90064 |
Please comment or provide details below to improve the information on JACLYN DROWN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.