Individual provider Active NPI

Jennifer Jewert, LCSW

  • Clinical Social Worker
  • Barstow, CA
National Provider Identifier
1033318316
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
28890 Issued in CA
Practice address
1841 E Main St
Barstow, CA 92311-3234
Phone
(760) 255-5700
NPI assigned
Jul 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 28890 CA Primary

Addresses

Primary practice location

1841 E Main St
Barstow, CA 92311-3234

Mailing address

1841 E Main St
Barstow, CA 92311-3234

Other practice location 1

1841 E Main St
Barstow, CA 92311-3234
Phone (760) 255-5700

Other practice location 2

901 N Pacific Coast Hwy
Ste 200a
Redondo Beach, CA 90277-2162
Phone (310) 316-1610

Other practice location 3

1841 E Main St
Barstow, CA 92311-3234
Phone (760) 255-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210608001859 CA Practitioner - Clinical Social Worker 6103226402 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28890CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jenniferjewert@tdh.allscriptsdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1033318316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841 E MAIN ST",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923113234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 E MAIN ST",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923113234",
            "telephone_number": "760-255-5700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1841 E Main St",
            "address_purpose": "LOCATION",
            "city": "Barstow",
            "state": "CA",
            "postal_code": "923113234",
            "country_code": "US",
            "telephone_number": "760-255-5700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 N Pacific Coast Hwy",
            "address_2": "STE 200A",
            "address_purpose": "LOCATION",
            "city": "Redondo Beach",
            "state": "CA",
            "postal_code": "902772162",
            "country_code": "US",
            "telephone_number": "310-316-1610",
            "fax_number": "310-316-4209",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1841 E Main St",
            "address_purpose": "LOCATION",
            "city": "Barstow",
            "state": "CA",
            "postal_code": "923113234",
            "country_code": "US",
            "telephone_number": "760-255-5700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEWERT",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "28890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barstow, CA

Sources for this page

Verify at the official NPI Registry.