Individual provider Active NPI

Jessica B Jaramillo, LCSW

  • Clinical Social Worker
  • Lexington, KY
National Provider Identifier
1669512901
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3350 Issued in KY
Practice address
3320 Clays Mill Rd Ste 109
Lexington, KY 40503-3484
Phone
(859) 285-2959
Fax
(859) 838-1092
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 4768 KY
Clinical Social Worker 1041C0700X 3350 KY Primary

Addresses

Primary practice location

3320 Clays Mill Rd Ste 109
Lexington, KY 40503-3484

Mailing address

3320 Clays Mill Rd Ste 109
Lexington, KY 40503-3484
Phone (859) 285-2959

Other identifiers 1

IdentifierTypeStateIssuer
30615058MedicaidKY

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

LicenseStateTypeSpecialty
4768KYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Child, Adult, and Family Counseling Clinical CurrentSince Jan 26, 2025 Accepting new patients

Locations

3320 Clays Mill Rd
Ste 109
Lexington, KY 40503
Phone (859) 285-2959

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1669512901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 CLAYS MILL RD STE 109",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033484",
            "telephone_number": "859-285-2959",
            "fax_number": "859-323-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 CLAYS MILL RD STE 109",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033484",
            "telephone_number": "859-285-2959",
            "fax_number": "859-838-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARAMILLO",
        "first_name": "JESSICA",
        "middle_name": "B",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "4768",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "3350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30615058",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.

Verify at the official NPI Registry.