Social Compass Club, a Speech-Language Pathology Corporation

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SOCIAL COMPASS CLUB, A SPEECH-LANGUAGE PATHOLOGY CORPORATION

Practice address

2233 Honolulu Ave Unit 312
Montrose, CA 91020-1635

Phone

(818) 839-0855

NPI assigned

Aug 18, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Lisa Jorgensen-Bock, M.S., CCC-SLPNPI 1356044085

Title

Executive Director/President

Phone

(818) 839-0855

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Marie Jorgensen-Bock, SLP

  • Speech-Language Pathologist
  • Montrose, CA
  • NPI 1356044085

  Multi-Specialty

  NPD Authorized official

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1407630759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 HONOLULU AVE UNIT 312",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201635",
            "telephone_number": "818-839-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 HONOLULU AVE UNIT 312",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910201635",
            "telephone_number": "818-839-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIAL COMPASS CLUB, A SPEECH-LANGUAGE PATHOLOGY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-18",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "JORGENSEN-BOCK",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/PRESIDENT",
        "authorized_official_telephone_number": "818-839-0855",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Montrose, CA
• Providers in Montrose, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.