Individual provider Active NPI

Dashamelle Jahona Bowie Russ, ACSW, LMSW

  • Clinical Social Worker
  • Santa Clara, CA
National Provider Identifier
1568050201
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
126042 Issued in CA
Practice address
5201 Great America Pkwy Ste 320
Santa Clara, CA 95054-1140
Phone
(323) 205-7088
NPI assigned
Jan 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 126042 CA Primary
Social Worker 104100000X 107077-01 NY
Clinical Social Worker 1041C0700X 98251 CA

Addresses

Primary practice location

5201 Great America Pkwy Ste 320
Santa Clara, CA 95054-1140

Mailing address

755 S Spring St Apt 1632
Los Angeles, CA 90014-2988
Phone (646) 309-1605

Other practice location 1

5150 Candlewood St
Lakewood, CA 90712-1925
Phone (323) 334-0064

Other practice location 2

2116 Arlington Ave
Los Angeles, CA 90018-1353
Phone (323) 334-9000

Other practice location 3

148 Park Pl
Brooklyn, NY 11217-3303
Phone (718) 398-1962

Other names 1

  • Dashamelle Jahona Robinson Former name

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
107077-01NYMDSocial Worker
126042CAMDClinical Social Worker
98251CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Pathways Counseling Center Social Worker Past Accepting new patients

Organizations & group practices 1

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": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1568050201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 S SPRING ST APT 1632",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900142988",
            "telephone_number": "646-309-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 GREAT AMERICA PKWY STE 320",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950541140",
            "telephone_number": "323-205-7088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5150 Candlewood St",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CA",
            "postal_code": "907121925",
            "country_code": "US",
            "telephone_number": "323-334-0064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2116 Arlington Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900181353",
            "country_code": "US",
            "telephone_number": "323-334-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "148 Park Pl",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112173303",
            "country_code": "US",
            "telephone_number": "718-398-1962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWIE RUSS",
        "first_name": "DASHAMELLE",
        "middle_name": "JAHONA",
        "credential": "ACSW, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-07",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "126042",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "107077-01",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "98251",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DASHAMELLE",
            "last_name": "ROBINSON",
            "middle_name": "JAHONA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.