Individual provider Active NPI

Jane Ann Gingerich, L,C.S.W.

  • Clinical Social Worker
  • Pacific Grove, CA
National Provider Identifier
1174680763
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8661 Issued in CA
Practice address
621 Forest Ave
Suite 3-D
Pacific Grove, CA 93950-4264
Phone
(831) 373-5123
Fax
(831) 642-9755
NPI assigned
Jan 2, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8661 CA Primary

Addresses

Primary practice location

621 Forest Ave
Suite 3-D
Pacific Grove, CA 93950-4264

Mailing address

2881 Forest Lodge Rd
Pebble Beach, CA 93953-2634
Phone (831) 649-3900

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
I20110413000241 CA Practitioner - Clinical Social Worker 2567646755 Practice locations: Pacific Grove, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

220 Country Club Gate Ctr
Suite 11
Pacific Grove, CA 93950-5014
Phone (831) 373-5123

PO Box
Suite 387
Pacific Grove, CA 93950-0387

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8661CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Grove Family Medicine, Inc. PastSince Nov 20, 2012 Accepting new patients
On Track Physical Therapy and Performance, P.C. Past Accepting new patients
Community Hospital of the Monterey Peninsula Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174680763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2881 FOREST LODGE RD",
            "city": "PEBBLE BEACH",
            "state": "CA",
            "postal_code": "939532634",
            "telephone_number": "831-649-3900",
            "fax_number": "831-642-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 FOREST AVE",
            "address_2": "SUITE 3-D",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939504264",
            "telephone_number": "831-373-5123",
            "fax_number": "831-642-9755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINGERICH",
        "first_name": "JANE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "L,C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "8661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacific Grove, CA

Sources for this page

Verify at the official NPI Registry.