Individual provider Active NPI

Megan A Jenkins, LCSW

  • Clinical Social Worker
  • Atascadero, CA
National Provider Identifier
1376834861
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW65016 Issued in CA
Practice address
9700 El Camino Real Ste 303
Atascadero, CA 93422-5581
Phone
(805) 250-6505
NPI assigned
May 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ASW30189 CA
Clinical Social Worker 1041C0700X LCSW65016 CA Primary

Addresses

Primary practice location

9700 El Camino Real Ste 303
Atascadero, CA 93422-5581

Mailing address

9700 El Camino Real Ste 303
Atascadero, CA 93422-5581
Phone (805) 250-6505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250520001201 CA Practitioner - Clinical Social Worker 7911425244 Practice locations: Atascadero, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW30189CAMDClinical Social Worker
LCSW65016CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Shannon Cantillano Licensed Clinical Social Worker Inc Dba Inner Expansions Therapy Services Clinical CurrentSince Jan 18, 2023 Accepting new patients

Locations

9700 El Camino Real
Ste 303
Atascadero, CA 93422
Phone (805) 250-6505

Organizations & group practices 1

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": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1376834861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 EL CAMINO REAL STE 303",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934225581",
            "telephone_number": "805-250-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 EL CAMINO REAL STE 303",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934225581",
            "telephone_number": "805-250-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "MEGAN",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-02",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW30189",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW65016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atascadero, CA

Sources for this page

Verify at the official NPI Registry.