Jennifer Dwight-Frost, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

60064 Issued in CA

Practice address

1041 Northside Dr Ste D
Cool, CA 95614-9593

Phone

(530) 333-3126

NPI assigned

Oct 2, 2019

Last updated

Aug 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Black Oak Mine Unified School District

  • Local Education Agency (LEA)
  • Georgetown, CA
  • NPI 1487711560
  NPD (past)

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1700427648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 NORTHSIDE DR STE D",
            "city": "COOL",
            "state": "CA",
            "postal_code": "956149593",
            "telephone_number": "530-333-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 NORTHSIDE DR STE D",
            "city": "COOL",
            "state": "CA",
            "postal_code": "956149593",
            "telephone_number": "530-333-3126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6540 Wentworth Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "CA",
            "postal_code": "956349701",
            "country_code": "US",
            "telephone_number": "530-333-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DWIGHT-FROST",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-02",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCSW60064",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "60064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Bacco
• Cool Optometry
• Cool Physical Therapy and Speech Services
• Nancy Anne Dixon, PPS
• Aryana Doroodian
• Janie L Evans, O.D.
• Rikard C Forsberg, DDS
• Cindy Slotterback Gaffney, RN
• James Clayton Kreutz, MPT
• Kara Lese Kreutz, SLP

• Clinical Social Worker in Cool, CA
• Providers in Cool, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.