Individual provider Active NPI

Jennifer Lynn Semmes, LCSW

  • Clinical Social Worker
  • Encinitas, CA
National Provider Identifier
1528396538
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
23587 Issued in CA
Practice address
631 3Rd St Ste 102
Encinitas, CA 92024-3556
Phone
(760) 583-6271
NPI assigned
Dec 2, 2009
Last updated
Oct 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 23587 CA Primary

Addresses

Primary practice location

631 3Rd St Ste 102
Encinitas, CA 92024-3556

Mailing address

631 3Rd St Ste 102
Encinitas, CA 92024-3556
Phone (760) 583-6271

Other identifiers 1

IdentifierTypeStateIssuer
LCS23587OtherCALCS LICENSE

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
I20200504001465 CA Practitioner - Clinical Social Worker 3274964424 Practice locations: Encinitas, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1528396538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 3RD ST STE 102",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243556",
            "telephone_number": "760-583-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 3RD ST STE 102",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243556",
            "telephone_number": "760-583-6271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMMES",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-02",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "23587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCS LICENSE",
            "identifier": "LCS23587",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.