Active NPI
Jessica Lindsay Sotelo, LCSW
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1275144685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 94693
- Practice address
- 1530 N Poinsettia PL Apt 241
Los Angeles, CA 90046-7915 - Phone
- (508) 272-4938
- NPI assigned
- Aug 11, 2020
- 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 | 94693 | CA | Primary |
Addresses
Primary practice location
1530 N Poinsettia PL Apt 241
Los Angeles, CA 90046-7915
Mailing address
1530 N Poinsettia PL Apt 241
Los Angeles, CA 90046-7915
Phone (508) 272-4938
Other practice location 1
12817 Victory Blvd
North Hollywood, CA 91606-3012
Phone (818) 918-0642
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jsotelo@jfsla.org | Direct | Jewish Family Service of Los Angeles |
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 |
|---|---|---|---|
| 94693 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
Interoperability endpoints
- jessicasotelo@tdh.allscriptsdirect.net
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1275144685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1530 N POINSETTIA PL APT 241",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900467915",
"telephone_number": "508-272-4938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 N POINSETTIA PL APT 241",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900467915",
"telephone_number": "508-272-4938"
}
],
"practiceLocations": [
{
"address_1": "12817 Victory Blvd",
"address_purpose": "LOCATION",
"city": "North Hollywood",
"state": "CA",
"postal_code": "916063012",
"country_code": "US",
"telephone_number": "818-918-0642",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOTELO",
"first_name": "JESSICA",
"middle_name": "LINDSAY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-11",
"last_updated": "2023-11-27",
"certification_date": "2020-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "94693",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jsotelo@jfsla.org",
"affiliation": "Y",
"affiliationName": "Jewish Family Service of Los Angeles",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "12817 Victory Blvd",
"city": "North Hollywood",
"state": "CA",
"country_code": "US",
"postal_code": "916063012",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.