Active NPI
Jessica Deann Garner, LCSW
- Clinical Social Worker
- Canoga Park, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 29802
- Practice address
- 6800 Owensmouth Ave
Canoga Park, CA 91303-3159 - Phone
- (213) 926-9638
- NPI assigned
- Mar 14, 2007
- Last updated
- Jun 14, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW29802 | CA | MD | Clinical Social Worker |
| 29802 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Angeles County Department of Mental Health | Current | Accepting new patients | |
| Redding Rancheria | Current | Accepting new patients | |
| Redding Rancheria | Current | Accepting new patients | |
| Los Angeles County Department of Mental Health | Current | Accepting new patients | |
| Redding Rancheria | Current | Accepting new patients | |
| Los Angeles County Department of Mental Health | Current | 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
- 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.
-
dba GENESIS Countywide Older Adult Program
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Los Angeles, CA
- NPI 1083633929
-
- Federally Qualified Health Center (FQHC)
- Redding, CA
- NPI 1104859354
-
dba SA6 HOME East Team
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Los Angeles, CA
- NPI 1740673912
-
dba Arcadia Mental Health Center-Full Service Partnership
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Arcadia, CA
- NPI 1902676075
-
dba Redding Rancheria Trinity Health Center
- Federally Qualified Health Center (FQHC)
- Weaverville, CA
- NPI 1386164580
-
dba Redding Rancheria Center for Advanced Care
- Federally Qualified Health Center (FQHC)
- Redding, CA
- NPI 1780423244
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.