Individual provider Active NPI

Torchessa La'Vetta West-Jackson, DR.

  • Clinical Social Worker
  • Santa Clara, CA
National Provider Identifier
1669571956
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L13177 Issued in OR
Practice address
5201 Great America Pkwy Ste 320
Santa Clara, CA 95054-1140
Phone
(323) 205-7088
NPI assigned
Sep 22, 2006
Last updated
Nov 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L13177 OR Primary

Addresses

Primary practice location

5201 Great America Pkwy Ste 320
Santa Clara, CA 95054-1140

Mailing address

PO Box 5571
Augusta, GA 30916-5571
Phone (706) 830-1240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, WA, DC, OR4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20240723003683 GA Practitioner - Clinical Social Worker 3779029004 Reassigns benefits to 2 organizations
I20250108002928 WA Practitioner - Clinical Social Worker 3779029004 Reassigns benefits to 2 organizations
I20250912001891 DC Practitioner - Clinical Social Worker 3779029004 Reassigns benefits to 1 organization
I20250912003746 OR Practitioner - Clinical Social Worker 3779029004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Total Life Inc. CurrentSince Jun 1, 2024 Accepting new patients
Grays Harbor County Public Hospital District No 1 CurrentSince Jan 2, 2025 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Jul 27, 2025 Accepting new patients
Grays Harbor County Public Hospital District No. 1 CurrentSince Jan 2, 2025 Accepting new patients
Grays Harbor County Public Hospital District No 1 Current Accepting new patients

Locations

110 Front St
Ste 300
Jupiter, FL 33477
Phone (205) 246-5690

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

260 Peachtree St NW
Ste 2200
Atlanta, GA 30303
Phone (669) 231-6870

715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964

10260 SW Greenburg Rd
Fl 4
Tigard, OR 97223
Phone (503) 405-9338

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

579 E Main St
Elma, WA 98541
Phone (360) 346-2222

600 E Main St
Elma, WA 98541
Phone (360) 346-2222

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1669571956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5571",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309165571",
            "telephone_number": "706-830-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 GREAT AMERICA PKWY STE 320",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950541140",
            "telephone_number": "323-205-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST-JACKSON",
        "first_name": "TORCHESSA",
        "middle_name": "LA'VETTA",
        "name_prefix": "Dr.",
        "credential": "DR.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L13177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

Verify at the official NPI Registry.