Jewell Justiniani-Allen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

25287 Issued in CA

Practice address

23961 Calle de la Magdalena
Suite 424
Laguna Hills, CA 92653-3616

Phone

(949) 630-0584

Fax

(949) 630-0587

NPI assigned

Oct 12, 2016

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 names 1

• Jewell Allen Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Paula Kettula Licensed Clinical Social Worker, Inc.

  dba Porta Verum Psychotherapy Services

  • Clinical Social Worker
  • San Diego, CA
  • NPI 1417513458
  NPD (past)

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476230400000",
    "number": "1356891469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23961 CALLE DE LA MAGDALENA",
            "address_2": "SUITE 424",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533616",
            "telephone_number": "949-630-0584",
            "fax_number": "949-630-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23961 CALLE DE LA MAGDALENA",
            "address_2": "SUITE 424",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533616",
            "telephone_number": "949-630-0584",
            "fax_number": "949-630-0587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTINIANI-ALLEN",
        "first_name": "JEWELL",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-12",
        "last_updated": "2016-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "25287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEWELL",
            "last_name": "ALLEN",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jenny Julander
• Julie a. Marshburn, MD, Inc
• Jerome Paulo Jumawan, MSW-LCSW
• Steven Jun
• Junko Johnson Marriage & Family Therapy Professional Corporation
• K Allen Family Therapist Inc
• Khatereh Kabirinejad, AMFT
• Fady Kadifa, M.D.
• Yaseen Kady, PA-C
• Marion Kimble Kagy, RN, IBCLC

• Clinical Social Worker in Laguna Hills, CA
• Providers in Laguna Hills, 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 Oct 12, 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.