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Jezreel Martin Supetran

  • Simi Valley, CA
  • Clinical social worker
NPI1629301213PAC ID1557830601
Medical group
1
State license
1
Year NPI issued
2009
Practice address
1750 Heywood St Unit B, Simi Valley, CA 93065
Practice phone
Call (805) 694-8368
Professional email
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Personal email
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Mobile number
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Social profiles

Medical group

Grow Therapy

San Jose, California

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Jezreel Martin Supetran is a clinical social worker in Simi Valley, California

Jezreel Supetran practices with Grow Therapy, a medical group.

Jezreel Supetran's NPI, 1629301213, was assigned on September 14, 2009. Jezreel Supetran holds California license 61376.

NPI and contact details
NPI
1629301213NPI Registry (opens in a new tab)
Medicare PAC ID
1557830601
NPI enumeration date
September 14, 2009
NPI status
Active
Practice phone
(805) 694-8368
Professional email
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Personal email
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Mobile number
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Sex
Male

Sources: NPPES NPI Registry (CMS); and Dmand AI Professional Profile Data

Jezreel Martin Supetran's practice address is in Simi Valley, California

Jezreel Supetran's practice address in the NPI Registry is 1750 Heywood St Unit B, Simi Valley, CA 93065. The practice phone is (805) 694-8368.

  • NPI Registry address
    1750 Heywood St Unit B, Simi Valley, CA 93065Phone(805) 694-8368

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Jezreel Martin Supetran is affiliated with 1 medical group

Jezreel Supetran is part of Grow Therapy, a medical group in San Jose, California.

Source: Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Jezreel Martin Supetran's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Jezreel Supetran practices. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Grow TherapyAvailable with a free account

Source: Dmand AI Technology Install Data

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Jezreel Martin Supetran is one of 9,919 clinical social workers in California

Social worker is Jezreel Supetran's primary specialty in the NPI Registry, under taxonomy code 1041C0700X. The record also lists clinical. Jezreel Supetran is licensed in California.

Specialties and state licenses

  • Clinical social worker, CaliforniaPrimaryLicense 61376 · taxonomy 1041C0700X

Clinical social workers near Jezreel Supetran

Counts of clinical social workers with a Dmand AI profile, by place and practice. Each opens the list.

9,919clinical social workers in California15clinical social workers in Simi Valley1,140clinical social workers at Grow Therapy

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Sources for Jezreel Martin Supetran's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemDmand AI Affiliation Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Jezreel Martin Supetran

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Jezreel Martin Supetran's NPI number?

Jezreel Martin Supetran's NPI number is 1629301213. It was assigned on September 14, 2009, and it is active in the NPI Registry.

What does Jezreel Martin Supetran specialize in?

Jezreel Martin Supetran is a clinical social worker in Simi Valley, California. The primary specialty in the NPI Registry is Clinical Social Worker (taxonomy code 1041C0700X).

Where does Jezreel Martin Supetran practice?

Jezreel Supetran practices at 1750 Heywood St Unit B, Simi Valley, CA 93065. Jezreel Supetran's primary practice is Grow Therapy, a medical group.

What is Jezreel Martin Supetran's office phone number?

The practice phone on file for Jezreel Supetran is (805) 694-8368.

What is Jezreel Martin Supetran's medical license number?

Jezreel Supetran holds California license 61376.

What medical group is Jezreel Martin Supetran part of?

Jezreel Supetran is part of Grow Therapy in San Jose, California.

How long has Jezreel Martin Supetran been practicing?

Jezreel Supetran's NPI was assigned in 2009.

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