Jolene Renee Sagan, LCSW, MPA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW 66630 Issued in CA

Practice address

405 W 5TH St
6TH Floor
Santa Ana, CA 92701-4599

Phone

(562) 972-5478

NPI assigned

Feb 24, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1424736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1154713352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901E 4TH ST 312",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053918",
            "telephone_number": "714-972-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W 5TH ST",
            "address_2": "6TH FLOOR",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014599",
            "telephone_number": "562-972-5478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGAN",
        "first_name": "JOLENE",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "LCSW, MPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-24",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW 66630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sepehr Aaron Saeedi, DMD
• Lucy Mayela Saenz, MD
• Manuel A Saenz, MD
• Samuel Saesim, D.D.S
• Safe Homes for Seniors, Inc.
• Sagebrush LLC
• Dara Saghafi, MD
• Mehdi Mohammad Saghafi, D.C.
• Janine Saghdejian, PHARMD
• Sahawaneh Dental Corporaton

• Clinical Social Worker in Santa Ana, CA
• Providers in Santa Ana, 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 Sep 16, 2015; 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.