Jennifer Isabel Soto

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

92558 Issued in CA

Practice address

4740 N Grand Ave
Covina, CA 91724-2005

Phone

(626) 859-2089

Fax

(626) 859-6537

NPI assigned

Jan 31, 2022

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Child Guidance Center, Inc.

  • Community/Behavioral Health Agency
  • Fullerton, CA
  • NPI 1003936311
  NPD (past)
• Creative Solutions for Kids & Families

  • Foster Care Agency
  • Riverside, CA
  • NPI 1851889828
  NPD (past)

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1164175055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 S HIGHLAND AVE APT H204",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928323530",
            "telephone_number": "714-574-7322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 N GRAND AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917242005",
            "telephone_number": "626-859-2089",
            "fax_number": "626-859-6537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22445 Alessandro Blvd Ste 113-114",
            "address_purpose": "LOCATION",
            "city": "Moreno Valley",
            "state": "CA",
            "postal_code": "925538358",
            "country_code": "US",
            "telephone_number": "951-924-9791",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "680 Langsdorf Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928313702",
            "country_code": "US",
            "telephone_number": "714-871-9264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOTO",
        "first_name": "JENNIFER",
        "middle_name": "ISABEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "92558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosalva Sosa
• Yajaira Betzabeth Soto Navarro
• Bethany Giselle Soto
• Daisy Monique Soto
• Erika Soto
• Kaiulani Soto, CATC-I
• Stacey Soto
• Kayleen Marie Souza
• Gloria Jean Spaulding
• Tonjua Lenee Speck, NCAC I

• Clinical Social Worker in Covina, CA
• Providers in Covina, 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 1, 2023; 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.