Individual provider Active NPI

Jana Renee Garrett, LCSW

  • Clinical Social Worker
  • Moreno Valley, CA
National Provider Identifier
1528291838
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW70969 Issued in CA
Practice address
13800 Heacock St Ste C220
Moreno Valley, CA 92553-3363
Phone
(951) 653-1800
NPI assigned
Sep 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X ASW 31963 CA
Clinical Social Worker 1041C0700X LCSW70969 CA Primary

Addresses

Primary practice location

13800 Heacock St Ste C220
Moreno Valley, CA 92553-3363

Mailing address

13800 Heacock St Ste C220
Moreno Valley, CA 92553-3363
Phone (951) 653-1800

Other practice location 1

19401 S Vermont Ave
Suite A200
Torrance, CA 90502-1029
Phone (310) 323-6887 ext. 281

Other practice location 2

13800 Heacock St Ste D111
Moreno Valley, CA 92553-3340
Phone (951) 653-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ASW 31963CAMDMental Health Counselor
LCSW70969CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Special Service for Groups, Inc. CurrentSince May 1, 2021 Accepting new patients
Special Service for Groups, Inc. Past Accepting new patients

Locations

13800 Heacock St
Ste C220
Moreno Valley, CA 92553
Phone (951) 243-4192

13800 Heacock St
Ste D111
Moreno Valley, CA 92553
Phone (951) 243-4192

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1528291838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13800 HEACOCK ST STE C220",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533363",
            "telephone_number": "951-653-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13800 HEACOCK ST STE C220",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533363",
            "telephone_number": "951-653-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19401 S Vermont Ave",
            "address_2": "Suite A200",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905021029",
            "country_code": "US",
            "telephone_number": "310-323-6887 x281",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13800 Heacock St Ste D111",
            "address_purpose": "LOCATION",
            "city": "Moreno Valley",
            "state": "CA",
            "postal_code": "925533340",
            "country_code": "US",
            "telephone_number": "951-653-1800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "JANA",
        "middle_name": "RENEE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-02",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW 31963",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW70969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.