Jacqueline Nicole Parodi, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS22172 Issued in CA

Practice address

5497 Seneca PL
Simi Valley, CA 93063-2056

Phone

(805) 205-5797

NPI assigned

Mar 21, 2007

Last updated

Oct 15, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Jacqueline Nicole Valiquette Other name

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

Specialty

Clinical Social Worker

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Be Resilient Inc

  • Clinical Social Worker
  • Camarillo, CA
  • NPI 1780173260
  Medicare reassignment NPD Authorized official
• Change Within Reach Inc

  • Adult Mental Health Clinic/Center
  • Encino, CA
  • NPI 1003207002
  Medicare reassignment

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444867200000",
    "number": "1508982901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5497 SENECA PL",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632056",
            "telephone_number": "805-205-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5497 SENECA PL",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632056",
            "telephone_number": "805-205-5797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARODI",
        "first_name": "JACQUELINE",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2015-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS22172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL LICENSE NUMBER",
            "identifier": "LCS 22172",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "VALIQUETTE",
            "middle_name": "NICOLE",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Emma Pallone
• Alexi Miklos Panczel
• Chelsea Pappas
• Steven John Parle, D.D.S., M.S.
• Vandana Parnami
• Forough Parsa, M.D.
• Sarah Elizabeth Parsons, AMFT
• Douglas Partello, RRT
• Partners in ABA Solutions LLC
• Joanne Pamela Parungao, O.D.

• Clinical Social Worker in Simi Valley, CA
• Providers in Simi Valley, 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 Oct 15, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.