Individual provider Active NPI

Agnes A. Jamoralin, LCSW

  • Clinical Social Worker
  • Whittier, CA
National Provider Identifier
1427297910
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS13978 Issued in CA
Practice address
9209 S. Colima Rd
Suite 3600, Trikora Behavioral Health & Wellness Center
Whittier, CA 90605-1814
Phone
(562) 696-0444
Fax
(562) 693-1184
NPI assigned
Feb 6, 2009
Last updated
Sep 23, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

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 LCS13978 CA Primary

Addresses

Primary practice location

9209 S. Colima Rd
Suite 3600, Trikora Behavioral Health & Wellness Center
Whittier, CA 90605-1814

Mailing address

9209 S. Colima Rd
Ste. 3600 Trikora Behavioral Health & Wellness Center
Whittier, CA 90605-1814
Phone (562) 696-0444

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

LicenseStateTypeSpecialty
LCS13978CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285200000000",
    "number": "1427297910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9209 S. COLIMA RD",
            "address_2": "STE. 3600 TRIKORA BEHAVIORAL HEALTH & WELLNESS CENTER",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906051814",
            "telephone_number": "562-696-0444",
            "fax_number": "562-696-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9209 S. COLIMA RD",
            "address_2": "SUITE 3600, TRIKORA BEHAVIORAL HEALTH & WELLNESS CENTER",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906051814",
            "telephone_number": "562-696-0444",
            "fax_number": "562-693-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMORALIN",
        "first_name": "AGNES",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-06",
        "last_updated": "2010-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS13978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; 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.