Provider Demographics
NPI:1780966648
Name:MERINO, JOCELYN VERONICA (SW)
Entity type:Individual
Prefix:MS
First Name:JOCELYN
Middle Name:VERONICA
Last Name:MERINO
Suffix:
Gender:F
Credentials:SW
Other - Prefix:MS
Other - First Name:JOCELYN
Other - Middle Name:
Other - Last Name:MERINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:JOCELYN MERINO
Mailing Address - Street 1:500 JEFFERSON BLVD STE B195
Mailing Address - Street 2:
Mailing Address - City:WEST SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95605-2350
Mailing Address - Country:US
Mailing Address - Phone:916-403-2970
Mailing Address - Fax:530-204-5255
Practice Address - Street 1:500 JEFFERSON BLVD STE B195
Practice Address - Street 2:
Practice Address - City:WEST SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95605-2350
Practice Address - Country:US
Practice Address - Phone:916-403-2970
Practice Address - Fax:530-204-5255
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-15
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker