Active NPI
Jessica Jefferson
- Clinical Social Worker
- Pasadena, CA
National Provider Identifier
1619484128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 101167
- Practice address
- 2750 E Washington Blvd Ste 230
Pasadena, CA 91107-1449 - Phone
- (626) 296-8900
- NPI assigned
- Jan 5, 2018
- 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 | 101167 | CA | Primary |
Addresses
Primary practice location
2750 E Washington Blvd Ste 230
Pasadena, CA 91107-1449
Mailing address
2750 E Washington Blvd Ste 230
Pasadena, CA 91107-1449
Other names 1
- Jessica Powell
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
| License | State | Type | Specialty |
|---|---|---|---|
| 101167 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711411200000",
"number": "1619484128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2750 E WASHINGTON BLVD STE 230",
"city": "PASADENA",
"state": "CA",
"postal_code": "911071449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2750 E WASHINGTON BLVD STE 230",
"city": "PASADENA",
"state": "CA",
"postal_code": "911071449",
"telephone_number": "626-296-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFERSON",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-05",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "101167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "POWELL",
"code": "1",
"type": "Former Name"
}
]
}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 Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.