Individual provider Active NPI

Jeannie Tuyet-Huynh Meyers, LCSW

  • Clinical Social Worker
  • Anaheim, CA
National Provider Identifier
1245519925
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
74817 Issued in CA
Practice address
303 W Lincoln Ave Ste 130
Anaheim, CA 92805-2993
Phone
(714) 520-7300
Fax
(714) 520-0883
NPI assigned
Aug 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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 74817 CA Primary

Addresses

Primary practice location

303 W Lincoln Ave Ste 130
Anaheim, CA 92805-2993

Mailing address

303 W Lincoln Ave Ste 130
Anaheim, CA 92805-2993
Phone (714) 520-7300

Other identifiers 1

IdentifierTypeStateIssuer
74817OtherCACALIFORNIA BOARD OF BEHAVIORAL HEALTH SCIENCES

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
I20170316001617 CA Practitioner - Clinical Social Worker 8527343482 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
County of Orange Current Accepting new patients

Locations

2035 E Ball Rd
Ste 200
Anaheim, CA 92806
Phone (714) 517-6300

23228 Madero
Mission Viejo, CA 92691
Phone (949) 454-3940

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": "1313020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1245519925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 W LINCOLN AVE STE 130",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928052993",
            "telephone_number": "714-520-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 W LINCOLN AVE STE 130",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928052993",
            "telephone_number": "714-520-7300",
            "fax_number": "714-520-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYERS",
        "first_name": "JEANNIE",
        "middle_name": "TUYET-HUYNH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-11",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "74817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF BEHAVIORAL HEALTH SCIENCES",
            "identifier": "74817",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.