Nirmala Jagannath, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW23183 Issued in CA

Practice address

1751 Eolus Ave
Encinitas, CA 92024-1519

Phone

(760) 613-2924

NPI assigned

Jan 11, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1639687726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 EOLUS AVE",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241519",
            "telephone_number": "760-613-2924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 EOLUS AVE",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241519",
            "telephone_number": "760-613-2924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "134 Grapevine Rd",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "920834004",
            "country_code": "US",
            "telephone_number": "760-613-2924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAGANNATH",
        "first_name": "NIRMALA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW23183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Jacka, PT
• Neethu Jacob, PA-C
• Richard Michael Jacoby, MD
• Lynn Jaffe, LCSW
• Jihad Jaffer, MD
• Lindsey Jagoe, FNP
• Sima Jalilizeinali
• James B Shaw, MD, PC
• James J Chao MD Facs a Professional Corporation
• James Lawson, DDS

• Clinical Social Worker in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.