Active NPI
Jennifer Diane Hall, MSW, LCSW
- Clinical Social Worker
- Livermore, CA
National Provider Identifier
1568594901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 27551
- Practice address
- 4951 Arroyo Rd
BLDG 62, 170a-LVD
Livermore, CA 94550 - Phone
- (925) 373-4700
- Fax
- (925) 449-6525
- NPI assigned
- Mar 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 27551 | CA | |
| Clinical Social Worker | 1041C0700X | 27551 | CA | Primary |
Addresses
Primary practice location
4951 Arroyo Rd
BLDG 62, 170a-LVD
Livermore, CA 94550
Mailing address
4951 Arroyo Rd
BLDG 62, 170a-LVD
Livermore, CA 94550-9650
Phone (925) 373-4700
Other practice location 1
7777 E Freedom Rd
French Camp, CA 95231-9694
Phone (290) 946-3400 ext. 43037
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 231742 | Medicaid | CA | |
| 27551 | Other | CA | CA BBS |
| 15705 | Other | CA | BBS AWS INTERN NUMBER |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564012800000",
"number": "1568594901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4951 ARROYO RD",
"address_2": "BLDG 62, 170A-LVD",
"city": "LIVERMORE",
"state": "CA",
"postal_code": "945509650",
"telephone_number": "925-373-4700",
"fax_number": "925-449-6525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4951 ARROYO RD",
"address_2": "BLDG 62, 170A-LVD",
"city": "LIVERMORE",
"state": "CA",
"postal_code": "94550",
"telephone_number": "925-373-4700",
"fax_number": "925-449-6525"
}
],
"practiceLocations": [
{
"address_1": "7777 E Freedom Rd",
"address_purpose": "LOCATION",
"city": "French Camp",
"state": "CA",
"postal_code": "952319694",
"country_code": "US",
"telephone_number": "290-946-3400 x43037",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALL",
"first_name": "JENNIFER",
"middle_name": "DIANE",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2019-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "27551",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "27551",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "231742",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA BBS",
"identifier": "27551",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BBS AWS INTERN NUMBER",
"identifier": "15705",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Livermore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.