Individual provider Active NPI

Jessica Fauman

  • Clinical Social Worker
  • San Francisco, CA
National Provider Identifier
1194575175
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
81895 Issued in CA
Practice address
2150 Post St
San Francisco, CA 94115-3508
Phone
(415) 449-1276
NPI assigned
Mar 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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 81895 CA Primary

Addresses

Primary practice location

2150 Post St
San Francisco, CA 94115-3508

Mailing address

2150 Post St
San Francisco, CA 94115-3508
Phone (415) 936-4339

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
I20240820000984 CA Practitioner - Clinical Social Worker 1254879364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jewish Family and Childrens ServicesGroup PAC ID 8426962820, 5 clinicians

Practice addresses (Care Compare)

2150 Post St
San Francisco, CA 94115-3508
Phone (415) 449-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
97348CAMDClinical Social Worker
81895CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family and Children'S Services CurrentSince Oct 1, 2025 Accepting new patients

Locations

2150 Post St
San Francisco, CA 94115
Phone (415) 449-1200

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1194575175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 POST ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153508",
            "telephone_number": "415-936-4339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 POST ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153508",
            "telephone_number": "415-449-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUMAN",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "81895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.