NPIMap

Organization Active NPI

Jean Lundquist Licensed Clinical Social Worker, Professional Corp.

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1659159937
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JEAN LUNDQUIST LICENSED CLINICAL SOCIAL WORKER, PROFESSIONAL CORP.
Practice address
2119 S Curson Ave
Los Angeles, CA 90016-1106
Phone
(760) 917-1037
NPI assigned
Sep 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Authorized official

Name
Ms. Jean Lundquist, LCSWNPI 1467993261
Title
Ceo
Phone
(760) 917-1037

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2119 S Curson Ave
Los Angeles, CA 90016-1106

Mailing address

2119 S Curson Ave
Los Angeles, CA 90016-1106
Phone (760) 917-1037

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1659159937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 S CURSON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900161106",
            "telephone_number": "760-917-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 S CURSON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900161106",
            "telephone_number": "760-917-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN LUNDQUIST LICENSED CLINICAL SOCIAL WORKER, PROFESSIONAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "LUNDQUIST",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-917-1037",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.