Active NPI
Joanne McCluskey, LCSW
- Clinical Social Worker
- Fullerton, CA
National Provider Identifier
1710453949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 119017
- Practice address
- 801 E Chapman Ave Ste 203
Fullerton, CA 92831-3846 - Phone
- (714) 680-9000
- Fax
- (714) 680-8233
- NPI assigned
- Oct 15, 2018
- Last updated
- Aug 7, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 89686 | CA | |
| School Social Worker | 1041S0200X | |||
| Clinical Social Worker | 1041C0700X | 119017 | CA | Primary |
Addresses
Primary practice location
801 E Chapman Ave Ste 203
Fullerton, CA 92831-3846
Mailing address
14020 NW Passage Apt 201
Marina del Rey, CA 90292-7410
Phone (847) 951-7793
Other practice location 1
1500 S McDonnell Ave
Commerce, CA 90040-5623
Phone (323) 981-4314
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119017 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1710453949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14020 NW PASSAGE APT 201",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902927410",
"telephone_number": "847-951-7793",
"fax_number": "714-680-8233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 E CHAPMAN AVE STE 203",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928313846",
"telephone_number": "714-680-9000",
"fax_number": "714-680-8233"
}
],
"practiceLocations": [
{
"address_1": "1500 S McDonnell Ave",
"address_purpose": "LOCATION",
"city": "Commerce",
"state": "CA",
"postal_code": "900405623",
"country_code": "US",
"telephone_number": "323-981-4314",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCLUSKEY",
"first_name": "JOANNE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-15",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "89686",
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "119017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.