Individual provider Active NPI

Nina J. Segal, LCSW

  • Clinical Social Worker
  • Chula Vista, CA
National Provider Identifier
1134495633
Registry record updated May 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW70996 Issued in CA
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

Updated by the provider on May 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
LCSW70996CAMDClinical Social Worker
70996CAMDPharmacist

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

Verify at the official NPI Registry.