Individual provider Active NPI

Jenny Landini, LCSW

  • Clinical Social Worker
  • Sacramento, CA
National Provider Identifier
1669662102
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
70173 Issued in CA
Practice address
3671 Business Dr Ste 100
Sacramento, CA 95820-2165
Phone
(916) 734-8560
Fax
(916) 734-5644
NPI assigned
Jul 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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 70173 CA Primary

Addresses

Primary practice location

3671 Business Dr Ste 100
Sacramento, CA 95820-2165

Mailing address

3671 Business Dr Ste 100
Sacramento, CA 95820-2165
Phone (916) 734-8560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240416002453 CA Practitioner - Clinical Social Worker 7315386950 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Current Accepting new patients
Regents of the University of Ca CurrentSince Mar 18, 2024 Accepting new patients
Regents of the Univ of Ca CurrentSince Mar 18, 2024 Accepting new patients
UC Davis Children'S Hospital Past Accepting new patients

Locations

10850 White Rock Rd
Rancho Cordova, CA 95670

3671 Business Dr
Sacramento, CA 95820
Phone (916) 734-4206

3671 Business Dr
Ste 100
Sacramento, CA 95820
Phone (916) 734-8396

2521 Stockton Blvd
Sacramento, CA 95817
Phone (916) 734-1104

Organizations & group practices 4

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": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456704000000",
    "number": "1669662102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3671 BUSINESS DR STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958202165",
            "telephone_number": "916-734-8560",
            "fax_number": "916-734-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3671 BUSINESS DR STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958202165",
            "telephone_number": "916-734-8560",
            "fax_number": "916-734-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDINI",
        "first_name": "JENNY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-31",
        "last_updated": "2016-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "70173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.