Active NPI
Hyeyoung Jung, LCSW
- Clinical Social Worker
- Diamond Bar, CA
National Provider Identifier
1255829479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW79621
- Practice address
- 3333 S Brea Canyon Rd
Ste 107
Diamond Bar, CA 91765-3782 - Phone
- (323) 823-8563
- NPI assigned
- Apr 24, 2018
- Last updated
- Feb 12, 2024
- 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 | LCSW79621 | CA | Primary |
Addresses
Primary practice location
3333 S Brea Canyon Rd
Ste 107
Diamond Bar, CA 91765-3782
Mailing address
2271 W Malvern Ave # 319
Fullerton, CA 92833-2106
Phone (323) 823-8563
Other names 1
- Jasmine Jung
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW79621 | CA | MD | Clinical Social Worker |
| 79621 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PC | Clinical | Current | Accepting new patients |
Locations
99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707696000000",
"number": "1255829479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2271 W MALVERN AVE # 319",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928332106",
"telephone_number": "323-823-8563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 S BREA CANYON RD",
"address_2": "STE 107",
"city": "DIAMOND BAR",
"state": "CA",
"postal_code": "917653782",
"telephone_number": "323-823-8563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNG",
"first_name": "HYEYOUNG",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-24",
"last_updated": "2024-02-12",
"certification_date": "2023-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW79621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JASMINE",
"last_name": "JUNG",
"credential": "LCSW",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Diamond Bar, CA
- Joseph W. Lee, a Professional Dental Corporation (Diamond Creek Dental)
- Sterin Joseph, SLP
- Joserita Hospice Care, Inc.
- Julian P Yniguez Physical Therapy, Inc.
- Da Eun Jung, DDS
- Jiman Jung, NP
- Fnu Kadionga Peter, MS
- Kaiser Foundation Health Plan Inc (Kaiser Permanente Phmcy #554)
- Florence Wangari Kamau, RN
- Margaret Wanjiru Kamau
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.