Active NPI
Paul A. Jaffe, L.C.S.W.
- Clinical Social Worker
- Grass Valley, CA
National Provider Identifier
1346487527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8305
- Practice address
- 353 Pleasant Street
Grass Valley, CA 95945 - Phone
- (530) 274-7866
- NPI assigned
- Jan 9, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 | 8305 | CA | Primary |
Addresses
Primary practice location
353 Pleasant Street
Grass Valley, CA 95945
Mailing address
353 Pleasant St
Grass Valley, CA 95945-6633
Phone (530) 274-7866
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231459200000",
"number": "1346487527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "353 PLEASANT ST",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959456633",
"telephone_number": "530-274-7866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "353 PLEASANT STREET",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "95945",
"telephone_number": "530-274-7866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAFFE",
"first_name": "PAUL",
"middle_name": "A.",
"name_prefix": "Mr.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-09",
"last_updated": "2009-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "8305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grass Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.