Jazmin Nol

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW99462 Issued in CA

Practice address

566 S Brand Blvd
San Fernando, CA 91340-4002

Phone

(818) 898-0223

Fax

(818) 361-5384

NPI assigned

Sep 30, 2010

Last updated

Aug 26, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Jazmin Garcia Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• El Centro de Amistad, Inc

  dba El Centro De Amistad- San Fernando

  • Community/Behavioral Health Agency
  • San Fernando, CA
  • NPI 1184740623
  NPD (past)

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1245549807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 S BRAND BLVD",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913404002",
            "telephone_number": "818-898-0223",
            "fax_number": "818-361-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 S BRAND BLVD",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913404002",
            "telephone_number": "818-898-0223",
            "fax_number": "818-361-5384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOL",
        "first_name": "JAZMIN",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-30",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW99462",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "LCSW99462",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAZMIN",
            "last_name": "GARCIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Charles Nickell
• Nicole Mahanian, D.D.S., Inc. (Tranquilo Dental)
• Marina Nicoleti
• Njdeh Nick Dental Corp (ABC Kids Dental Group)
• Noble Care Medical Group, Inc (San Fernando Medical Center)
• Shirin Noori, RBT
• Stacy E Noriega
• North Valley Diagnostics Services, Inc.
• North Valley Pharmacy and Medical Supplies Inc
• North Valley Pharmacy and Medical Supplies Inc

• Clinical Social Worker in San Fernando, CA
• Providers in San Fernando, 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 Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.