Individual provider Active NPI

Gloria Michel-Jaime, ASW

  • Clinical Social Worker
  • Santa Barbara, CA
National Provider Identifier
1104544337
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
109867 Issued in CA
Practice address
4675 Via Los Santos
Santa Barbara, CA 93111-1346
Phone
(323) 395-9379
NPI assigned
Aug 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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 109867 CA Primary

Addresses

Primary practice location

4675 Via Los Santos
Santa Barbara, CA 93111-1346

Mailing address

672 Bradshawe Ave
Los Angeles, CA 90022-3403
Phone (323) 395-9379

Other names 1

  • Miss Gloria Michel Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gloria@developmentalplayandlearning.com

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
109867CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1104544337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "672 BRADSHAWE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900223403",
            "telephone_number": "323-395-9379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4675 VIA LOS SANTOS",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931111346",
            "telephone_number": "323-395-9379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHEL-JAIME",
        "first_name": "GLORIA",
        "name_prefix": "Miss",
        "credential": "ASW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "109867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gloria@developmentalplayandlearning.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "4675 Via Los Santos",
            "city": "Santa Barbara",
            "state": "CA",
            "country_code": "US",
            "postal_code": "931111346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "GLORIA",
            "last_name": "MICHEL",
            "prefix": "MISS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.