Provider Demographics
NPI:1851726277
Name:BEILER, JESSICA S (MSW, ASW)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:S
Last Name:BEILER
Suffix:
Gender:F
Credentials:MSW, ASW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:855 N CROFT AVE
Mailing Address - Street 2:209
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90069-4469
Mailing Address - Country:US
Mailing Address - Phone:917-952-8381
Mailing Address - Fax:
Practice Address - Street 1:855 N CROFT AVE
Practice Address - Street 2:209
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90069-4469
Practice Address - Country:US
Practice Address - Phone:917-952-8381
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-04
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW360811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical