Jeg Therapy Licensed Clinical Social Workers, Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

25769 Issued in CA

Legal business name

JEG THERAPY LICENSED CLINICAL SOCIAL WORKERS, INC

Practice address

2659 Townsgate Rd Ste 226
Westlake Village, CA 91361-2755

Phone

(818) 521-3867

NPI assigned

Oct 14, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Jason Gillard, LCSW

Title

President / Clinician

Phone

(818) 521-3867

Specialties & licenses 1

Addresses

Other names 1

• JEG Therapy, Inc Doing business as

Locations

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

{
    "created_epoch": "1507939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1124539333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21529 SATICOY ST APT 206",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913044962",
            "telephone_number": "818-521-3867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2659 TOWNSGATE RD STE 226",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612755",
            "telephone_number": "818-521-3867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEG THERAPY LICENSED CLINICAL SOCIAL WORKERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-14",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "GILLARD",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT / CLINICIAN",
        "authorized_official_telephone_number": "818-521-3867",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "25769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JEG Therapy, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Valerie Jauregui, BA, RBT
• Rupal Javia, D.D.S.
• Lyndsie Jayne, RDN
• Andre Jeanbart, DDS
• Jeffrey B. Lieberman, O.D., Inc.
• Carrie Jekogian
• Adam Jelloian
• Jennifer Brady Licensed Clinical Social Worker PC
• Amanda Farrell Jennings, M.F.T.
• Susan Jerian, M.D.

• Clinical Social Worker in Westlake Village, CA
• Providers in Westlake Village, 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 Feb 12, 2020; 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.