Active NPI
James Sheppard Largent, LCSW
- Clinical Social Worker
- Carlsbad, CA
National Provider Identifier
1194115188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 64560
- Practice address
- 2558 Roosevelt St Ste 304
Carlsbad, CA 92008-1672 - Phone
- (760) 579-8524
- Fax
- (760) 237-2292
- NPI assigned
- Jan 28, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 64560 | CA | Primary |
Addresses
Primary practice location
2558 Roosevelt St Ste 304
Carlsbad, CA 92008-1672
Mailing address
1386 Evergreen Dr
Cardiff by the Sea, CA 92007-1037
Phone (760) 579-8524
Other practice location 1
11770 Bernardo Plaza Ct
Ste. 370
San Diego, CA 92128-2422
Phone (858) 673-3360
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550102400000",
"number": "1194115188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1386 EVERGREEN DR",
"city": "CARDIFF BY THE SEA",
"state": "CA",
"postal_code": "920071037",
"telephone_number": "760-579-8524",
"fax_number": "760-237-2292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2558 ROOSEVELT ST STE 304",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920081672",
"telephone_number": "760-579-8524",
"fax_number": "760-237-2292"
}
],
"practiceLocations": [
{
"address_1": "11770 Bernardo Plaza Ct",
"address_2": "Ste. 370",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921282422",
"country_code": "US",
"telephone_number": "858-673-3360",
"fax_number": "858-592-0884",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LARGENT",
"first_name": "JAMES",
"middle_name": "SHEPPARD",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-01-28",
"last_updated": "2019-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "64560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.