Jessica Leigh Carness, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

24536 Issued in CA

Practice address

Veterans Administration, Sacc
16111 Plummer Ave, BLDG 10, Room B-A109
Sepulveda, CA 91343

Phone

(818) 891-7711

Fax

(818) 895-5819

NPI assigned

Oct 4, 2006

Last updated

Apr 11, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Veterans Administration

  • Adult Mental Health Clinic/Center
  • Sepulveda, CA
  • NPI 1740537299
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460332800000",
    "number": "1356436281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VETERANS ADMINISTRATION SDVA",
            "address_2": "3350 LA JOLLA VILLAGE DR,",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921610001",
            "telephone_number": "858-552-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VETERANS ADMINISTRATION, SACC",
            "address_2": "16111 PLUMMER AVE, BLDG 10, ROOM B-A109",
            "city": "SEPULVEDA",
            "state": "CA",
            "postal_code": "91343",
            "telephone_number": "818-891-7711",
            "fax_number": "818-895-5819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNESS",
        "first_name": "JESSICA",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2016-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "24536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pegah Bazeghi, RN
• Bevanne A Bean-Mayberry, MD
• Alicia Claire Becks, NP
• Sylvia Boris, PH.D.
• Courtney Emily Butler, AUD
• Joy Margaret Chan, M.D.
• June Y. Chan, D.M.D.
• Dennis Church, NP
• Arthur Rogers Collier, RN
• Maria Llanillo Davis, N.P.

• Clinical Social Worker in Sepulveda, CA
• Providers in Sepulveda, 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 Apr 11, 2016; 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.