Jazmin Macpherson Breaux, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

668 Quinan St
Pinole, CA 94564-1621

Phone

(510) 741-7286

NPI assigned

May 3, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

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.

• Family Institute of Pinole

  • Community/Behavioral Health Agency
  • Pinole, CA
  • NPI 1922162817
  NPD (past)
• The Family Institute of Richmond

  • Community/Behavioral Health Agency
  • Richmond, CA
  • NPI 1740446590
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1174735245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10075 LEVONE AVE",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961610443",
            "telephone_number": "530-807-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 QUINAN ST",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945641621",
            "telephone_number": "510-741-7286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREAUX",
        "first_name": "JAZMIN",
        "middle_name": "MACPHERSON",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "66066",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": "D1447067",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amitabh K. Bharadwaj, MD
• Yadvinder Singh Bhullar
• Norton Bongbong, PT
• Thomas A. Boyce, D.D.S.
• Barry E Breaux, M.D.
• Michael H Brown, M.D.
• Phedra L Burnett, SLP-CF
• Jennie G. Byrd, M.D.
• Ma. Yolanda Alonzo Caboboy, D.D.S.
• Yuhang Cai, PT

• Social Worker in Pinole, CA
• Providers in Pinole, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.