Active NPI
Jenifer Renee Demers
- Social Worker
- Sacramento, CA
National Provider Identifier
1386124436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ACSW114558
- Practice address
- 401 S St
Sacramento, CA 95811-6919 - Phone
- (916) 890-3016
- Fax
- (916) 914-2462
- NPI assigned
- Aug 17, 2018
- Last updated
- Apr 13, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | ||
| Social Worker | 104100000X | ACSW114558 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Case Manager/Care Coordinator | 171M00000X | NU |
Addresses
Primary practice location
401 S St
Sacramento, CA 95811-6919
Mailing address
401 S St
Sacramento, CA 95811-6919
Phone (916) 890-3016
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171M00000X | Other | CA | CAPITAL STAR BEHAVIORAL HEALTH |
Other names 1
- Jena King
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACSW114558 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681344000000",
"number": "1386124436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 S ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958116919",
"telephone_number": "916-890-3016",
"fax_number": "916-914-2462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 S ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958116919",
"telephone_number": "916-890-3016",
"fax_number": "916-914-2462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMERS",
"first_name": "JENIFER",
"middle_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-17",
"last_updated": "2023-04-13",
"certification_date": "2023-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ACSW114558",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL STAR BEHAVIORAL HEALTH",
"identifier": "171M00000X",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENA",
"last_name": "KING",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.