Individual provider Active NPI

Jessica Lindsay Sotelo, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1275144685
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
94693 Issued in CA
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

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
94693CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.