Provider Demographics
NPI:1275756322
Name:NERELL, JODI ANN (MSW)
Entity Type:Individual
Prefix:
First Name:JODI
Middle Name:ANN
Last Name:NERELL
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115C CORAL ST
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95060-2104
Mailing Address - Country:US
Mailing Address - Phone:831-459-6644
Mailing Address - Fax:
Practice Address - Street 1:115C CORAL ST
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95060-2104
Practice Address - Country:US
Practice Address - Phone:831-459-6644
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker