Jenn Jiayi Wu Shrestha

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

76475 Issued in CA

Practice address

1151 A St
Hayward, CA 94541-4113

Phone

(510) 826-2960

NPI assigned

Nov 5, 2007

Last updated

Jan 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jenn Wu Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Seneca Family of Agencies

  dba CCC Community Based Services

  • Community/Behavioral Health Agency
  • Concord, CA
  • NPI 1073643680
  NPD (past)
• Seneca Family of Agencies

  dba Pathfinder Academy

  • Community/Behavioral Health Agency
  • Union City, CA
  • NPI 1457566085
  NPD (past)

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1083894216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 SHADELANDS DR BLDG 10",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 A ST",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945414113",
            "telephone_number": "510-826-2960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40950 Chapel Way",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945384236",
            "country_code": "US",
            "telephone_number": "510-226-6180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1266 14th St",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946072247",
            "country_code": "US",
            "telephone_number": "510-273-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1266 14th St",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946072247",
            "country_code": "US",
            "telephone_number": "510-273-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WU SHRESTHA",
        "first_name": "JENN",
        "middle_name": "JIAYI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-05",
        "last_updated": "2022-01-11",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "76475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1800 Harrison St",
            "city": "Oakland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "946123466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENN",
            "last_name": "WU",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Worleys
• Emily Andy Wright
• Natasha Kristina Wright, LCSW 100371
• Orleeda Wright
• Krystyna Maria Wrona
• Elaine Wu
• Elaine L Wu, OD
• Hui Hsin Wu, MD
• Jennifer Ngokeling Wu, M.D.
• Jonathan Wu, PT, DPT

• Clinical Social Worker in Hayward, CA
• Providers in Hayward, 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 Jan 11, 2022; 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.