Jacquellin S Harris

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

110809 Issued in CA

Practice address

8337 Telegraph Rd Ste 300
Pico Rivera, CA 90660-4957

Phone

(562) 455-8905

NPI assigned

Apr 18, 2018

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

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pathways Community Services LLC

  • Community/Behavioral Health Agency
  • Fullerton, CA
  • NPI 1881729911
  Medicare reassignment NPD
• Wellqor Psychological Services of California, PC

  • Clinical Psychologist
  • Murrieta, CA
  • NPI 1093173742
  Medicare reassignment NPD
• Pathways Community Services LLC

  • Community/Behavioral Health Agency
  • Tustin, CA
  • NPI 1396436077
  NPD
• Pathways Community Services LLC

  • Community/Behavioral Health Agency
  • Pico Rivera, CA
  • NPI 1851421713
  NPD
• Darrell Broaddus Psychological Services PC

  • Clinical Psychologist
  • Orangevale, CA
  • NPI 1215339650
  NPD (past)
• Neighborhood Healthcare

  • Federally Qualified Health Center (FQHC)
  • Hemet, CA
  • NPI 1154786846
  NPD (past)
• Neighborhood Healthcare

  • Federally Qualified Health Center (FQHC)
  • Riverside, CA
  • NPI 1447847207
  NPD (past)
• Pathways Community Services LLC

  • Community/Behavioral Health Agency
  • Pico Rivera, CA
  • NPI 1639364862
  NPD (past)

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1467949149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8337 TELEGRAPH RD STE 300",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906604957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8337 TELEGRAPH RD STE 300",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906604957",
            "telephone_number": "562-455-8905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1030 E Florida Ave",
            "address_purpose": "LOCATION",
            "city": "Hemet",
            "state": "CA",
            "postal_code": "925434511",
            "country_code": "US",
            "telephone_number": "833-867-4642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JACQUELLIN",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-18",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "110809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Arthur Hall I
• Grace Han, OD
• Dennis Michael Hannon, DC
• Kyle T Hara
• Raul Gracia Haro, MFT INTERN
• Nicolette Jasmin Haug, NP-C
• Hearquest Audiology Corp
• Heartsmart Nutrition
• Daniel Armando Heredia
• Claudia Hernandez, MD

• Clinical Social Worker in Pico Rivera, CA
• Providers in Pico Rivera, 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 Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.