Active NPI
Jessica Moran
- Social Worker
- Chatsworth, CA
National Provider Identifier
1275050494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 21000 Plummer St
Chatsworth, CA 91311-4903 - Phone
- (818) 882-6400
- NPI assigned
- Aug 28, 2017
- Last updated
- Jun 15, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 105207 | CA | |
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
21000 Plummer St
Chatsworth, CA 91311-4903
Mailing address
21000 Plummer St
Chatsworth, CA 91311-4903
Phone (818) 882-6400
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105207 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686787200000",
"number": "1275050494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21000 PLUMMER ST",
"city": "CHATSWORTH",
"state": "CA",
"postal_code": "913114903",
"telephone_number": "818-882-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21000 PLUMMER ST",
"city": "CHATSWORTH",
"state": "CA",
"postal_code": "913114903",
"telephone_number": "818-882-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-28",
"last_updated": "2023-06-15",
"certification_date": "2023-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "105207",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chatsworth, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.