IndividualActive
Jezreel Supetran
NPI 1629301213 · Clinical Social Worker · Simi Valley, CA
Jezreel Supetran is a Clinical Social Worker provider in Simi Valley, CA (NPI 1629301213).
Provider details
- NPI number
- 1629301213
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 61376 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1750 Heywood St Unit B
Simi Valley, CA 93065-6552
Phone: (805) 694-8368
Street-level locationGet directions
Mailing address
1000 S Fremont Ave Unit 34
Alhambra, CA 91803-8867
Registry dates
- Enumerated
- 2009-09-14
- Last updated
- 2026-03-16
- Certified
- 2026-03-16
Frequently asked questions
- What is Jezreel Supetran's NPI number?
- Jezreel Supetran's National Provider Identifier (NPI) is 1629301213, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jezreel Supetran's specialty?
- Jezreel Supetran is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jezreel Supetran located?
- Jezreel Supetran's practice location on file with NPPES is 1750 Heywood St Unit B, Simi Valley, CA 93065-6552.
- What is Jezreel Supetran's phone number?
- The practice phone number listed in the NPPES registry for Jezreel Supetran is (805) 694-8368.
- Is Jezreel Supetran's NPI active?
- Yes — Jezreel Supetran's NPI (1629301213) is active in the NPPES registry as of the last update on 2026-03-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.