Individual provider Active NPI

Jacquelin Garcia de Santiago, LCSW

  • Clinical Social Worker
  • Delano, CA
National Provider Identifier
1083281687
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
122071 Issued in CA
Practice address
355 Dover Pkwy
Delano, CA 93215-3440
Phone
(661) 725-2788
NPI assigned
Jun 10, 2021
Last updated
Aug 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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 122071 CA Primary

Addresses

Primary practice location

355 Dover Pkwy
Delano, CA 93215-3440

Mailing address

355 Dover Pkwy
Delano, CA 93215-3440
Phone (661) 725-2788

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
I20240606002382 CA Practitioner - Clinical Social Worker 1557803434 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Sierra Vista CurrentSince May 23, 2024 Accepting new patients
Clinica Sierra Vista CurrentSince May 23, 2024 Accepting new patients
County of Kern Social Worker CurrentSince Apr 30, 2024 Accepting new patients
County of Kern Mental Health Current Accepting new patients
County of Kern CurrentSince Apr 30, 2024 Accepting new patients
Clinica Sierra Vista Current Accepting new patients
Clinica Sierra Vista Mental Health CurrentSince Jun 15, 2021 Accepting new patients

Locations

1305 Bear Mountain Blvd
Arvin, CA 93203
Phone (661) 854-3131

2525 N Chester Ave
Bakersfield, CA 93308
Phone (661) 328-4295

625 34th St
Ste 100200
Bakersfield, CA 93301
Phone (833) 578-2781

355 Dover Pkwy
Delano, CA 93215
Phone (661) 281-4460

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1083281687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 DOVER PKWY",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932153440",
            "telephone_number": "661-725-2788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 DOVER PKWY",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932153440",
            "telephone_number": "661-725-2788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA DE SANTIAGO",
        "first_name": "JACQUELIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "122071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delano, CA

Sources for this page

Verify at the official NPI Registry.