Jessica Ehlers, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

32670 Highway 20 Unit 2
Fort Bragg, CA 95437-5708

Phone

(707) 964-1136

NPI assigned

Aug 20, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Redwood Community Services, Inc

  • Community/Behavioral Health Agency
  • Fort Bragg, CA
  • NPI 1528496619

  Community/Behavioral Health

  NPD (past)
• Redwood Community Services, Inc.

  • Community/Behavioral Health Agency
  • Fort Bragg, CA
  • NPI 1790054856

  Community/Behavioral Health

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1003249525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32670 HIGHWAY 20 UNIT 2",
            "city": "FORT BRAGG",
            "state": "CA",
            "postal_code": "954375708",
            "telephone_number": "707-964-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32670 HIGHWAY 20 UNIT 2",
            "city": "FORT BRAGG",
            "state": "CA",
            "postal_code": "954375708",
            "telephone_number": "707-964-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHLERS",
        "first_name": "JESSICA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-20",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Dyer Yost, CMT
• Julia Eagles, MHRS
• Heather Eccarius
• Peter James Economen, PHARMD
• Lisa Edens-Tan, ND
• Colonie Elder
• Emk Medical Billing, LLC
• Masyn Enright, DO
• Eternal Homecare Solutions, LLC
• Christina Joie Esther Fernandez

• Clinical Social Worker in Fort Bragg, CA
• Providers in Fort Bragg, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.