Individual provider Active NPI

Jennifer Ann Burgraff, LCSW

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1568051308
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW94121 Issued in CA
Practice address
5820 Oberlin Dr Ste 112
San Diego, CA 92121-3743
Phone
(619) 633-0135
NPI assigned
Jan 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

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 LCSW94121 CA Primary

Addresses

Primary practice location

5820 Oberlin Dr Ste 112
San Diego, CA 92121-3743

Mailing address

5820 Oberlin Dr Ste 112
San Diego, CA 92121-3743
Phone (619) 633-0135

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
I20250211001786 CA Practitioner - Clinical Social Worker 6507396215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alo Ha Psychological Associates IncGroup PAC ID 3476783978, 12 clinicians

Practice addresses (Care Compare)

3517 Camino del Rio S
Suite 302
San Diego, CA 92108-4029
Phone (619) 996-3195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW94121CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Zalewski-Zaragoza, MD, Inc PastSince Nov 21, 2024 Accepting new patients

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": "1610668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1568051308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 OBERLIN DR STE 112",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213743",
            "telephone_number": "619-633-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 OBERLIN DR STE 112",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213743",
            "telephone_number": "619-633-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGRAFF",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW94121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.