Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miss. Jennifer Michelle Bazan, ACSW

Individual provider Clinical Social Worker · NPI 1245844653

Miss. Jennifer Michelle Bazan, ACSW is a Clinical Social Worker in Northridge, California. Qualified in 2021, 5 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

9650 Zelzah Ave
Northridge, CA 91325-2003
Phone: (818) 993-9311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 106123 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Rehabilitation Practitioner Taxonomy 225400000X

Record details

NPI number1245844653
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACSW
Sole proprietorYes
NPI enumeratedSeptember 2, 2020
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Northridge