Jennifer Valencia

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ASW75976 Issued in CA

Practice address

1231 E Dyer Rd
Santa Ana, CA 92705-5606

Phone

(949) 250-0488

NPI assigned

May 11, 2017

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

Other names 1

• Jennifer Medina Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542758400000",
    "number": "1154858967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 E DYER RD STE 135",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927055643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 E DYER RD",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927055606",
            "telephone_number": "949-250-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENCIA",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2018-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW75976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MEDINA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Roy Joshua Valdizno
• Elizabeth Valdovinos
• Ashley Valencia
• Felipe Valencia
• Graciela Valencia
• Maribel Valencia
• Rosa Maria Valencia, M.A.
• Trinity Valencia
• Laurie Jean Valencic, LCSW
• Viviana Valente

• 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 Nov 21, 2018; 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.