Active NPI
Joanna Lynn Quan, LCSW
- Clinical Social Worker
- Sacramento, CA
National Provider Identifier
1255899332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 22935
- Practice address
- 1000 G St Ste 125
Sacramento, CA 95814-0894 - Phone
- (888) 588-8595
- NPI assigned
- Mar 7, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 29382 | CA | |
| Clinical Social Worker | 1041C0700X | 22935 | TX | Primary |
Addresses
Primary practice location
1000 G St Ste 125
Sacramento, CA 95814-0894
Mailing address
2206 Bridgeport Path Dr
Missouri City, TX 77459-3275
Phone (925) 216-2184
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29382 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744675200000",
"number": "1255899332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2206 BRIDGEPORT PATH DR",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774593275",
"telephone_number": "925-216-2184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 G ST STE 125",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958140894",
"telephone_number": "888-588-8595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUAN",
"first_name": "JOANNA",
"middle_name": "LYNN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-07",
"last_updated": "2025-04-15",
"certification_date": "2025-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "29382",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "22935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.