Individual provider Active NPI

Candace Catherine Jarjosa

  • Social Worker
  • Ann Arbor, MI
National Provider Identifier
1699197798
Registry record updated Jan 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
2781 Sagebrush Cir
Apt 205
Ann Arbor, MI 48103-8778
Phone
(248) 202-2639
NPI assigned
Jan 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

2781 Sagebrush Cir
Apt 205
Ann Arbor, MI 48103-8778

Mailing address

2781 Sagebrush Cir
Apt 205
Ann Arbor, MI 48103-8778
Phone (248) 202-2639

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389225600000",
    "number": "1699197798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2781 SAGEBRUSH CIR",
            "address_2": "APT 205",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481038778",
            "telephone_number": "248-202-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2781 SAGEBRUSH CIR",
            "address_2": "APT 205",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481038778",
            "telephone_number": "248-202-2639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARJOSA",
        "first_name": "CANDACE",
        "middle_name": "CATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-09",
        "last_updated": "2014-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; 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.