Active NPI
Jessica Kuo
- Clinical Social Worker
- Pasadena, CA
National Provider Identifier
1619016466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS26979
- Practice address
- 2587 E Washington Blvd
Pasadena, CA 91107-6205 - Phone
- (626) 798-6753
- Fax
- (626) 463-4145
- NPI assigned
- Feb 6, 2007
- Last updated
- Apr 24, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS26979 | CA | Primary |
Addresses
Primary practice location
2587 E Washington Blvd
Pasadena, CA 91107-6205
Mailing address
260 S Arroyo Dr
A
San Gabriel, CA 91776-4368
Phone (626) 497-0420
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS26979 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429833600000",
"number": "1619016466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 S ARROYO DR",
"address_2": "A",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917764368",
"telephone_number": "626-497-0420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2587 E WASHINGTON BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911076205",
"telephone_number": "626-798-6753",
"fax_number": "626-463-4145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUO",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2015-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS26979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.