NPIMap

Organization Active NPI

La Jolla Wellness, Licensed Clinical Social Worker, Inc.

  • Clinical Social Worker
  • La Jolla, CA
National Provider Identifier
1467262915
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LA JOLLA WELLNESS, LICENSED CLINICAL SOCIAL WORKER, INC.
Practice address
7855 Ivanhoe Ave Ste 460
La Jolla, CA 92037-4510
Phone
(619) 483-1663
Fax
(619) 431-4565
NPI assigned
Jan 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Authorized official

Name
Taylor Poppmeier, LCSWNPI 1467044834
Title
Owner
Phone
(619) 483-1663

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

7855 Ivanhoe Ave Ste 460
La Jolla, CA 92037-4510

Mailing address

7855 Ivanhoe Ave Ste 460
La Jolla, CA 92037-4510

National Provider Directory

National Provider Directory

Locations

7855 Ivanhoe Ave
Ste 460
La Jolla, CA 92037
Phone (619) 483-1663

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1736294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1467262915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7855 IVANHOE AVE STE 460",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7855 IVANHOE AVE STE 460",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374510",
            "telephone_number": "619-483-1663",
            "fax_number": "619-431-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA JOLLA WELLNESS, LICENSED CLINICAL SOCIAL WORKER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "POPPMEIER",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-483-1663",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.