Individual provider Active NPI

Jenna Lavallee, LCSW

  • Clinical Social Worker
  • Ventura, CA
National Provider Identifier
1346998788
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
128375 Issued in CA
Practice address
11408 Beechnut St
Ventura, CA 93004-4341
Phone
(952) 917-9989
NPI assigned
Mar 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 22225 MN
Clinical Social Worker 1041C0700X 128375 CA Primary
Clinical Social Worker 1041C0700X LCSW-44106 ID

Addresses

Primary practice location

11408 Beechnut St
Ventura, CA 93004-4341

Mailing address

11408 Beechnut St
Ventura, CA 93004-4341
Phone (952) 917-9989

Other practice location 1

37908 Willow Rd N
LaPorte, MN 56461-4455
Phone (952) 917-9989

Other names 1

  • Jenna Seegmiller Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, CA, ID, WA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20250522000176 MN Practitioner - Clinical Social Worker 6204355332 Reassigns benefits to 1 organization
I20250523001617 CA Practitioner - Clinical Social Worker 6204355332 Reassigns benefits to 1 organization
I20250523001735 ID Practitioner - Clinical Social Worker 6204355332 Reassigns benefits to 1 organization
I20251122001269 WA Practitioner - Clinical Social Worker 6204355332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22225MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Apr 16, 2025 Accepting new patients
Grow Healthcare Group PC Mental Health CurrentSince Apr 18, 2025 Accepting new patients
Ada County Juvenile Court Services PastSince Mar 1, 2022 Accepting new patients

Locations

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

950 W Bannock St
Ste 1100
Boise, ID 83702
Phone (201) 293-7689

2355 Highway 36 W
Ste 400
Saint Paul, MN 55113
Phone (612) 460-1597

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

Organizations & group practices 3

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": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1346998788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11408 BEECHNUT ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930044341",
            "telephone_number": "952-917-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11408 BEECHNUT ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930044341",
            "telephone_number": "952-917-9989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37908 Willow Rd N",
            "address_purpose": "LOCATION",
            "city": "LaPorte",
            "state": "MN",
            "postal_code": "564614455",
            "country_code": "US",
            "telephone_number": "952-917-9989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAVALLEE",
        "first_name": "JENNA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "22225",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "128375",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-44106",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "SEEGMILLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.