Individual provider Active NPI

Janice Lynn Rakoff, LCSW

  • Clinical Social Worker
  • Del Mar, CA
National Provider Identifier
1083992176
Registry record updated Jul 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS4611 Issued in CA
Practice address
1125 Camino del Mar Ste F
Del Mar, CA 92014-2645
Phone
(858) 481-0425
Fax
(858) 259-8407
NPI assigned
Jul 24, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2011

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 LCS4611 CA Primary

Addresses

Primary practice location

1125 Camino del Mar Ste F
Del Mar, CA 92014-2645

Mailing address

1125 Camino del Mar Ste F
Del Mar, CA 92014-2645
Phone (858) 481-0425

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS4611CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1311465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311465600000",
    "number": "1083992176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 CAMINO DEL MAR STE F",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920142645",
            "telephone_number": "858-481-0425",
            "fax_number": "858-259-8407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 CAMINO DEL MAR STE F",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920142645",
            "telephone_number": "858-481-0425",
            "fax_number": "858-259-8407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAKOFF",
        "first_name": "JANICE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-24",
        "last_updated": "2011-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS4611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Mar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2011; 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.