Individual provider Active NPI

Jessica S Caughey, LCSW

  • Clinical Social Worker
  • Woodland Hills, CA
National Provider Identifier
1396802047
Registry record updated Oct 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
21871 Issued in CA
Practice address
23388 Mulholland Dr
M/S 260
Woodland Hills, CA 91364-2733
Phone
(818) 876-4017
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 21871 CA Primary

Addresses

Primary practice location

23388 Mulholland Dr
M/S 260
Woodland Hills, CA 91364-2733

Mailing address

22110 De la Osa St
Woodland Hills, CA 91364-3018
Phone (818) 914-5203

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

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255910400000",
    "number": "1396802047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22110 DE LA OSA ST",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913643018",
            "telephone_number": "818-914-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23388 MULHOLLAND DR",
            "address_2": "M/S 260",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642733",
            "telephone_number": "818-876-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUGHEY",
        "first_name": "JESSICA",
        "middle_name": "S",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2009-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "21871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; 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.