Active NPI
Christine Rene Jarka, LCSW
- Clinical Social Worker
- Folsom, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 82279
- Practice address
- 2365 Iron Point Rd Ste 210
Folsom, CA 95630-8713 - Phone
- (925) 282-1778
- Fax
- (415) 296-5529
- NPI assigned
- Mar 26, 2014
- Sex
- Female
- Sole proprietor
- No
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 | 82279 | CA | Primary |
Addresses
Primary practice location
2365 Iron Point Rd Ste 210
Folsom, CA 95630-8713
Mailing address
2365 Iron Point Rd Ste 210
Folsom, CA 95630-8713
Phone (925) 282-1778
Other practice location 1
3294 Royal Dr
Suite 13
Cameron Park, CA 95682-8534
Phone (530) 677-4404 ext. 14
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2365 Iron Point Rd
Suite 210
Folsom, CA 95630-8713
Phone (925) 282-1778
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Coast Psychiatric Associates Inc | Current | Accepting new patients | |
| Cameron Park Counseling Center | Past | Accepting new patients | |
| Cameron Park Counseling Center, Inc. | Clinical | Past | Accepting new patients |
Locations
1480 64th St
Ste 150
Emeryville, CA 94608
Phone (415) 296-5292
2365 Iron Point Rd
Ste 210
Folsom, CA 95630
Phone (925) 360-5264
490 Post St
Ste 1043
San Francisco, CA 94102
Phone (415) 409-0944
Interoperability endpoints
- lifestancehealth.christinejarka@148377.advancedmd-direct.com
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 and National Provider Directory roles.
-
dba Lifestance Health
- Clinical Psychologist
- Scottsdale, AZ
- NPI 1023125465
CA
-
- Point of Service
- Cameron Park, CA
- NPI 1093104325
-
dba Cameron Park Counseling Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cameron Park, CA
- NPI 1477760874
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720742400000",
"number": "1255758314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2365 IRON POINT RD STE 210",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956308713",
"telephone_number": "925-282-1778",
"fax_number": "415-296-5529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2365 IRON POINT RD STE 210",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956308713",
"telephone_number": "925-282-1778",
"fax_number": "415-296-5529"
}
],
"practiceLocations": [
{
"address_1": "3294 Royal Dr",
"address_2": "Suite 13",
"address_purpose": "LOCATION",
"city": "Cameron Park",
"state": "CA",
"postal_code": "956828534",
"country_code": "US",
"telephone_number": "530-677-4404 x14",
"fax_number": "530-677-4545",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JARKA",
"first_name": "CHRISTINE",
"middle_name": "RENE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-26",
"last_updated": "2024-07-12",
"certification_date": "2024-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "82279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.