Jessica Josephine Phe, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LCSW92779 Issued in CA

Practice address

2115 Wardrobe Ave
Merced, CA 95341-6445

Phone

(209) 600-8164

NPI assigned

Sep 29, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1740599356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 WARDROBE AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953416445",
            "telephone_number": "209-600-8164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 WARDROBE AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953416445",
            "telephone_number": "209-600-8164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Bridgeway",
            "address_2": "Unit 205",
            "address_purpose": "LOCATION",
            "city": "Sausalito",
            "state": "CA",
            "postal_code": "949651489",
            "country_code": "US",
            "telephone_number": "415-332-3129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHE",
        "first_name": "JESSICA",
        "middle_name": "JOSEPHINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-29",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW92779",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "LCSW92779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamilah Peterson
• Nichole Katerina Petropoulos
• Anahit Petrosyan, M.D.
• Annika Pettersson
• Kelly C Phanh, PA
• Sandy Phengsavanh, PHARMD
• Frances Sophia Phillips, RN
• Kelly Phillips
• Roger Steve Phillips, M.D.
• Philos Therapeutic a Licensed Clinical Social Worker Corporation

• Social Worker in Merced, CA
• Providers in Merced, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.

Verify at the official NPI Registry.