Individual provider Active NPI

Jessica Deann Garner, LCSW

  • Clinical Social Worker
  • Canoga Park, CA
National Provider Identifier
1497888622
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
29802 Issued in CA
Practice address
6800 Owensmouth Ave
Canoga Park, CA 91303-3159
Phone
(213) 926-9638
NPI assigned
Mar 14, 2007
Last updated
Jun 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 26303 CA
Clinical Social Worker 1041C0700X LCSW29802 CA
Clinical Social Worker 1041C0700X 29802 CA Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

6800 Owensmouth Ave
Canoga Park, CA 91303-3159

Mailing address

6800 Owensmouth Ave Ste 160
Canoga Park, CA 91303-4255
Phone (213) 926-9638

Other practice location 1

1360 N Main St
Bishop, CA 93514-3013
Phone (760) 873-6533

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL jandersonmsw@protonmail.com

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140820000198 CA Practitioner - Clinical Social Worker 6709004518 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW29802CAMDClinical Social Worker
29802CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Los Angeles County Department of Mental Health Current Accepting new patients
Redding Rancheria Current Accepting new patients
Redding Rancheria CurrentSince Apr 16, 2021 Accepting new patients
Los Angeles County Department of Mental Health CurrentSince Jul 2, 2014 Accepting new patients
Redding Rancheria CurrentSince Apr 16, 2021 Accepting new patients
Los Angeles County Department of Mental Health CurrentSince Jul 2, 2014 Accepting new patients

Locations

6800 Owensmouth Ave
Canoga Park, CA 91303
Phone (818) 610-6700

6800 Owensmouth Ave
Ste 160
Canoga Park, CA 91303
Phone (818) 610-6700

11080 W Olympic Blvd
Fl 1
Los Angeles, CA 90064
Phone (310) 966-6610

11303 W Washington Blvd
Fl 2
Los Angeles, CA 90066
Phone (310) 482-3260

510 S Vermont Ave
Fl 19
Los Angeles, CA 90020
Phone (213) 480-3416

5321 Via Marisol
Los Angeles, CA 90042
Phone (323) 478-8244

1441 Liberty St
Redding, CA 96001
Phone (530) 224-2700

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1497888622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 OWENSMOUTH AVE STE 160",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913034255",
            "telephone_number": "213-926-9638",
            "fax_number": "818-347-8736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 OWENSMOUTH AVE",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033159",
            "telephone_number": "213-926-9638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1360 N Main St",
            "address_purpose": "LOCATION",
            "city": "Bishop",
            "state": "CA",
            "postal_code": "935143013",
            "country_code": "US",
            "telephone_number": "760-873-6533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARNER",
        "first_name": "JESSICA",
        "middle_name": "DEANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "26303",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW29802",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "29802",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jandersonmsw@protonmail.com",
            "affiliation": "N",
            "address_1": "1360 N Main St",
            "city": "Bishop",
            "state": "CA",
            "country_code": "US",
            "postal_code": "935143013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

Verify at the official NPI Registry.