Jennifer Chen Speckman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS23659 Issued in CA

Practice address

1533 Euclid St
Santa Monica, CA 90404-3306

Phone

(310) 451-9747

NPI assigned

Nov 15, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 11, 2023 through Dec 11, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jennifer Chen Speckman Licensed Clinical Social Worker PC

  • Community/Behavioral Health Agency
  • Oakland, CA
  • NPI 1598425092
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1346527587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 EUCLID ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904043306",
            "telephone_number": "310-451-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 EUCLID ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904043306",
            "telephone_number": "310-451-9747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPECKMAN",
        "first_name": "JENNIFER",
        "middle_name": "CHEN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-15",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS23659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCS#",
            "identifier": "LCS23659",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Hansen Spanos, M.D.
• Kathryn Eva Sparks
• Paulina Dianne Speaker
• Andrea Lange Spear, PH.D
• Special Needs Resource Group
• Todd J Spector, MD
• Haley Speer, LCSW
• Lin Cheng Speer, LAC, OMD, PHD
• Elizabeth Spencer, LMT
• Luba Spichkin Rosenblum, RDN

• Clinical Social Worker in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.