Active NPI
Wendy Ann Jones, LCSW
- Clinical Social Worker
- Simi Valley, CA
National Provider Identifier
1396821708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 21658
- Practice address
- 2775 Tapo St
Suite 204
Simi Valley, CA 93063-0466 - Phone
- (805) 210-0420
- NPI assigned
- Oct 27, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 21658 | CA | Primary |
Addresses
Primary practice location
2775 Tapo St
Suite 204
Simi Valley, CA 93063-0466
Mailing address
5400 Bennett Rd
Simi Valley, CA 93063-5135
Phone (805) 210-0420
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21658 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487808000000",
"number": "1396821708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5400 BENNETT RD",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930635135",
"telephone_number": "805-210-0420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2775 TAPO ST",
"address_2": "SUITE 204",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930630466",
"telephone_number": "805-210-0420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "WENDY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-27",
"last_updated": "2017-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "21658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Simi Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.