Individual provider Active NPI

Jency Jasmin Umana Linares, BA, MA CANDIDATE

  • Clinical Social Worker
  • Richmond, CA
National Provider Identifier
1093445199
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
124147 Issued in CA
Practice address
205 39TH St
Richmond, CA 94805-2212
Phone
(510) 374-0629
NPI assigned
Jun 13, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 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 WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 124147 CA Primary

Addresses

Primary practice location

205 39TH St
Richmond, CA 94805-2212

Mailing address

205 39TH St
Richmond, CA 94805-2212
Phone (510) 374-0629

Other practice location 1

2028 Potrero Ave
Richmond, CA 94804-3837
Phone (510) 374-0629

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
Credentials
Bachelor of Arts, Master of Arts

State licenses

LicenseStateTypeSpecialty
124147CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1093445199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 39TH ST",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948052212",
            "telephone_number": "510-374-0629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 39TH ST",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948052212",
            "telephone_number": "510-374-0629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2028 Potrero Ave",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "CA",
            "postal_code": "948043837",
            "country_code": "US",
            "telephone_number": "510-374-0629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UMANA LINARES",
        "first_name": "JENCY",
        "middle_name": "JASMIN",
        "credential": "BA, MA CANDIDATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2024-07-29",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "124147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.