Active NPI
Nina J. Segal, LCSW
- Clinical Social Worker
- Chula Vista, CA
National Provider Identifier
1134495633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW70996
- Practice address
- 231 4TH Ave
Chula Vista, CA 91910 - Phone
- (619) 259-3568
- Fax
- (619) 431-2226
- NPI assigned
- Mar 28, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW70996 | CA | Primary |
| Social Worker | 104100000X |
Addresses
Primary practice location
231 4TH Ave
Chula Vista, CA 91910
Mailing address
1936 O Ave
National City, CA 91950-6032
Phone (619) 259-3568
Other practice location 1
1061 Tierra Del Rey Ste 200
Chula Vista, CA 91910-7881
Phone (619) 528-4600 ext. 6410
Other practice location 2
1936 O Ave
National City, CA 91950-6032
Phone (808) 217-5452
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171107000860 | CA | Practitioner - Clinical Social Worker | 9830455989 | Practice locations: Chula Vista, CA; National City, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1936 O Ave
National City, CA 91950-6032
Phone (808) 217-5452
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW70996 | CA | MD | Clinical Social Worker |
| 70996 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558051200000",
"number": "1134495633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1936 O AVE",
"city": "NATIONAL CITY",
"state": "CA",
"postal_code": "919506032",
"telephone_number": "619-259-3568",
"fax_number": "619-431-2226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 4TH AVE",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "91910",
"telephone_number": "619-259-3568",
"fax_number": "619-431-2226"
}
],
"practiceLocations": [
{
"address_1": "1061 Tierra Del Rey Ste 200",
"address_purpose": "LOCATION",
"city": "Chula Vista",
"state": "CA",
"postal_code": "919107881",
"country_code": "US",
"telephone_number": "619-528-4600 x6410",
"fax_number": "619-528-4600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1936 O Ave",
"address_purpose": "LOCATION",
"city": "National City",
"state": "CA",
"postal_code": "919506032",
"country_code": "US",
"telephone_number": "808-217-5452",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEGAL",
"first_name": "NINA",
"middle_name": "J.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-28",
"last_updated": "2019-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW70996",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.