Individual provider Active NPI

Jamie Marina Flores, LCSW

  • Clinical Social Worker
  • Stockton, CA
National Provider Identifier
1235648080
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
113706 Issued in CA
Practice address
582 E Harding Way
Stockton, CA 95204-6110
Phone
(209) 932-0357
NPI assigned
Sep 25, 2017
Last updated
Feb 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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 113706 CA Primary

Addresses

Primary practice location

582 E Harding Way
Stockton, CA 95204-6110

Mailing address

9980 Palm Grove Dr
Sacramento, CA 95827-3549
Phone (916) 541-8784

Other practice location 1

214 Estates Dr
Roseville, CA 95678-2353
Phone (916) 581-0054

Other practice location 2

300 Montgomery St Ste 204
San Francisco, CA 94104-1904
Phone (415) 202-5159

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
I20230830001980 CA Practitioner - Clinical Social Worker 0042673667 Reassigns benefits to 1 organization
Practice locations: Sacramento, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113706CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Clinical CurrentSince Aug 12, 2023 Accepting new patients
Stockton Pace, LLC PastSince Oct 10, 2021 Accepting new patients
Two Chairs Behavioral Health Group, a Psychology Corporation Clinical PastSince Oct 9, 2022 Accepting new patients

Locations

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17371/brand/1/csg/1/fhir/r4

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": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1235648080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9980 PALM GROVE DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958273549",
            "telephone_number": "916-541-8784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "582 E HARDING WAY",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952046110",
            "telephone_number": "209-932-0357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 Estates Dr",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956782353",
            "country_code": "US",
            "telephone_number": "916-581-0054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Montgomery St Ste 204",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941041904",
            "country_code": "US",
            "telephone_number": "415-202-5159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORES",
        "first_name": "JAMIE",
        "middle_name": "MARINA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "113706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.