Jacqueline Louise Clingman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

17782 Issued in CA

Practice address

3751 Stocker St
Stocker Ave
Los Angeles, CA 90008-5101

Phone

(323) 298-3723

NPI assigned

Jan 8, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231372800000",
    "number": "1467699710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3751 STOCKER AVE",
            "address_2": "STOCKER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90008",
            "telephone_number": "323-298-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3751 STOCKER ST",
            "address_2": "STOCKER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900085101",
            "telephone_number": "323-298-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINGMAN",
        "first_name": "JACQUELINE",
        "middle_name": "LOUISE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-08",
        "last_updated": "2009-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "17782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "17782",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinica de Los Angeles Medical Group
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• Clinical Social Worker in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; 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.