Individual provider Active NPI

Jessica Marie Rojas, ASW

  • Clinical Social Worker
  • Concord, CA
National Provider Identifier
1043369986
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ASW 18631 Issued in CA
Practice address
205 Mason Cir
Concord, CA 94520-1203
Phone
(925) 521-1270
Fax
(925) 521-1279
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 ASW 18631 CA Primary

Addresses

Primary practice location

205 Mason Cir
Concord, CA 94520-1203

Mailing address

49 Warren Way
Pittsburg, CA 94565-3742
Phone (510) 672-3602

Other identifiers 2

IdentifierTypeStateIssuer
4504OtherCACONTRA COSTA MEDI-CAL
8266OtherCAALAMEDA COUNTY MEDI-CAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ASW 18631CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043369986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 WARREN WAY",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945653742",
            "telephone_number": "510-672-3602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MASON CIR",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945201203",
            "telephone_number": "925-521-1270",
            "fax_number": "925-521-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROJAS",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "ASW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW 18631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTRA COSTA MEDI-CAL",
            "identifier": "4504",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALAMEDA COUNTY MEDI-CAL",
            "identifier": "8266",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.