Active NPI
Jacqueline D Machado, LCSW
- Clinical Social Worker
- Victorville, CA
National Provider Identifier
1245716802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW100593
- Practice address
- 14075 Hesperia Rd Ste 101
Victorville, CA 92395-4500 - Phone
- (760) 810-0000
- Fax
- (760) 810-0178
- NPI assigned
- Jul 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW100593 | CA | Primary |
Addresses
Primary practice location
14075 Hesperia Rd Ste 101
Victorville, CA 92395-4500
Mailing address
14075 Hesperia Rd Ste 101
Victorville, CA 92395-4500
Phone (760) 810-0000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jul 1, 2026 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW100593 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679443200000",
"number": "1245716802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14075 HESPERIA RD STE 101",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923954500",
"telephone_number": "760-810-0000",
"fax_number": "760-810-0178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14075 HESPERIA RD STE 101",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923954500",
"telephone_number": "760-810-0000",
"fax_number": "760-810-0178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACHADO",
"first_name": "JACQUELINE",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-17",
"last_updated": "2023-03-22",
"certification_date": "2023-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW100593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.