Jennifer N Rugala Persicone, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 25768 Issued in CA

Practice address

1300 W Florida Ave Ste C
Hemet, CA 92543-4628

Phone

(951) 765-0033

NPI assigned

Dec 1, 2011

Sex

Female

Sole proprietor

No

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

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

Specialty

Clinical Social Worker

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Serenity and Solutions Family Counseling Center Prof Corp

  • Mental Health Counselor
  • Hemet, CA
  • NPI 1891321238
  Medicare reassignment NPD
• Blue Moon Senior Counseling of California LLC

  • Clinical Social Worker
  • Plainfield, IL
  • NPI 1447678990

  CA

  Medicare reassignment NPD
• JRP Counseling Licensed Clinical Social Worker Professional

  • Mental Health Counselor
  • Palm Springs, CA
  • NPI 1679425219
  NPD Authorized official

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1205104551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 LYRA WAY",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922232079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W FLORIDA AVE STE C",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434628",
            "telephone_number": "951-765-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUGALA PERSICONE",
        "first_name": "JENNIFER",
        "middle_name": "N",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-01",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 25768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlott Rebeca Rubi Dixon
• John Michael Rublaitus III, MD
• Kristin Shiree Ruddy, PHARMD
• Leslie Jesus Ruelas, LCSW
• Marcus Ruffin
• Brenda Ruiz
• Destiny Ruiz
• Ignacio Saucedo Ruiz
• Victor Ruiz, MD
• Keasha Russell, ATC

• Clinical Social Worker in Hemet, CA
• Providers in Hemet, 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 Mar 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.