Provider Demographics
NPI:1366570970
Name:ESCALERA, JENNIFER CHRIS (LCSW, CH)
Entity type:Individual
Prefix:MISS
First Name:JENNIFER
Middle Name:CHRIS
Last Name:ESCALERA
Suffix:
Gender:F
Credentials:LCSW, CH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:254 N LAKE AVE # 275
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-1829
Mailing Address - Country:US
Mailing Address - Phone:323-251-3596
Mailing Address - Fax:
Practice Address - Street 1:127 NORTH MADISON AVE STE 300
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101
Practice Address - Country:US
Practice Address - Phone:323-251-3596
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS245591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical