Provider Demographics
NPI:1437752052
Name:POWELL, JESSIKA LENETT
Entity type:Individual
Prefix:MRS
First Name:JESSIKA
Middle Name:LENETT
Last Name:POWELL
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:JESSIKA
Other - Middle Name:LENETT
Other - Last Name:BROWNING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:642 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95340-4718
Mailing Address - Country:US
Mailing Address - Phone:209-205-1058
Mailing Address - Fax:
Practice Address - Street 1:642 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340
Practice Address - Country:US
Practice Address - Phone:209-205-1058
Practice Address - Fax:209-205-1062
Is Sole Proprietor?:No
Enumeration Date:2020-11-17
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker