Elizabeth Jeronimo-Mejia

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

88709 Issued in CA

Practice address

710 E 111TH PL
Los Angeles, CA 90059-1518

Phone

(323) 233-0425

Fax

(323) 232-2366

NPI assigned

Aug 5, 2015

Last updated

May 27, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

All Horizons IncGroup PAC ID 0345377958, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• All Horizons Inc

  dba All Seasons Mental Health

  • Mental Health Counselor
  • Boise, ID
  • NPI 1285767574
  Medicare reassignment Care Compare group NPD
• All Horizons, Inc.

  dba All Seasons Mental Health

  • Mental Health Counselor
  • Boise, ID
  • NPI 1265565477

  Clinical

  NPD
• Kedren Community Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Los Angeles, CA
  • NPI 1134336811
  NPD (past)

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1265818819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6933 W EMERALD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048616",
            "telephone_number": "208-321-0634",
            "fax_number": "208-321-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 E 111TH PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900591518",
            "telephone_number": "323-233-0425",
            "fax_number": "323-232-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERONIMO-MEJIA",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-05",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "88709",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Elizabeth Jernigan, PA-C
• Tamekia Nicole Jernigan
• Jerome E. Goldwasser, M.D.
• Jerome Tepperman Psychology Corp
• Sara M Jerome
• Jessi Jeronimo
• Ritchie Jeronimo
• Jerrica Kirkley M.D., P.C. (Plume Health)
• Jerrold H Steiner MD a Medical Corp
• Jerry Judd Pryde Jr MD PC

• Clinical Social Worker in Los Angeles, CA
• Providers in Los Angeles, 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 May 27, 2020; 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.

Verify at the official NPI Registry.