Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jeremiah Russell Deckard Jr., ASW

Individual provider Social Worker · NPI 1326910993

Mr. Jeremiah Russell Deckard Jr., ASW is a Social Worker in Riverside, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025
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Practice location Address checks out

4344 Latham St Ste 119
Riverside, CA 92501-0400
Phone: (840) 888-5310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence ASW132837 (CA)

Record details

NPI number1326910993
Entity typeIndividual (Type 1)
GenderMale
Credentials ASW
Sole proprietorYes
NPI enumeratedSeptember 22, 2025
Last updated in NPPESMay 3, 2026
Certification dateMay 3, 2026

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