Active NPI
Jacque Michael Negrete, L.C.S.W.
- Clinical Social Worker
- La Mesa, CA
National Provider Identifier
1699085407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW82346
- Practice address
- 8881 Fletcher Pkwy Ste 350-360
La Mesa, CA 91942-3134 - Phone
- (858) 279-1223
- NPI assigned
- Oct 14, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2632-C | NV | |
| Clinical Social Worker | 1041C0700X | LCSW82346 | CA | Primary |
Addresses
Primary practice location
8881 Fletcher Pkwy Ste 350-360
La Mesa, CA 91942-3134
Mailing address
PO Box 1259
Selma, CA 93662-1259
Phone (775) 450-1596
Other practice location 1
111 Gallatin St
Shelby, MT 59474-1676
Phone (406) 424-8079
Other practice location 2
9492 Double R Boulevard
Suite B
Reno, NV 89403
Phone (775) 450-1596
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW82346 | CA | MD | Clinical Social Worker |
| 2632-C | NV | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Point Counsleing Services | Clinical | Past | Accepting new patients |
| Connections Behavioral Health Center | Clinical | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Shelby, MT
- NPI 1881120962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681689600000",
"number": "1699085407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1259",
"city": "SELMA",
"state": "CA",
"postal_code": "936621259",
"telephone_number": "775-450-1596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8881 FLETCHER PKWY STE 350-360",
"city": "LA MESA",
"state": "CA",
"postal_code": "919423134",
"telephone_number": "858-279-1223"
}
],
"practiceLocations": [
{
"address_1": "111 Gallatin St",
"address_purpose": "LOCATION",
"city": "Shelby",
"state": "MT",
"postal_code": "594741676",
"country_code": "US",
"telephone_number": "406-424-8079",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9492 Double R Boulevard",
"address_2": "Suite B",
"address_purpose": "LOCATION",
"city": "Reno",
"state": "NV",
"postal_code": "89403",
"country_code": "US",
"telephone_number": "775-450-1596",
"fax_number": "775-246-5034",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEGRETE",
"first_name": "JACQUE",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-14",
"last_updated": "2023-04-17",
"certification_date": "2023-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "2632-C",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW82346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.