Active NPI
Agnes A. Jamoralin, LCSW
- Clinical Social Worker
- Whittier, CA
National Provider Identifier
1427297910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS13978
- 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, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| LCS13978 | CA | MD | Clinical 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.