Active NPI
Jeneille Perry
- Social Worker
- Sacramento, CA
National Provider Identifier
1316490204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 102904
- Practice address
- 8912 Volunteer LN
Sacramento, CA 95826-3221 - Phone
- (916) 344-0199
- NPI assigned
- Jul 27, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | ||
| Counselor | 101Y00000X | |||
| Social Worker | 104100000X | 102904 | CA | Primary |
Addresses
Primary practice location
8912 Volunteer LN
Sacramento, CA 95826-3221
Mailing address
8912 Volunteer LN
Sacramento, CA 95826-3221
Phone (916) 344-0199
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 |
|---|---|---|---|
| 102904 | CA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628208000000",
"number": "1316490204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8912 VOLUNTEER LN",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958263221",
"telephone_number": "916-344-0199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8912 VOLUNTEER LN",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958263221",
"telephone_number": "916-344-0199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "JENEILLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-27",
"last_updated": "2021-08-06",
"certification_date": "2021-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "102904",
"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 Aug 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.