Jessica Nelson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

102532 Issued in CA

Practice address

1120 W la Veta Ave Ste 660&470
Orange, CA 92868-4231

Phone

(714) 509-8210

NPI assigned

Sep 9, 2016

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

Other names 1

• Jessica Vargas Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Children's Hospital of Orange County

  dba CYS CHOC Project HEALTH FSP

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Orange, CA
  • NPI 1780173583
  NPD

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1245787902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 W LA VETA AVE STE 660",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684244",
            "telephone_number": "714-509-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W LA VETA AVE STE 660&470",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684231",
            "telephone_number": "714-509-8210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10929 South St",
            "address_2": "Suite 208B",
            "address_purpose": "LOCATION",
            "city": "Cerritos",
            "state": "CA",
            "postal_code": "907035340",
            "country_code": "US",
            "telephone_number": "562-924-5526 x299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-09",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "102532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "VARGAS",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrew Nei
• Michael Neinast, DO
• Alicia Nelson
• Christina Nelson, DNP, RN, AGACNP-BC
• Edward L Nelson, MD
• John Stuart Nelson, MD
• Morgan Nelson, LCSW
• Nicole K Nelson
• Shauna Ann Nelson, FNP
• Nemt Strategies LLC

• Clinical Social Worker in Orange, CA
• Providers in Orange, 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 Sep 28, 2023; 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.