Sara M Jerome

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

821 Wilcox Ave Apt 104
Los Angeles, CA 90038-5600

Phone

(360) 930-3624

NPI assigned

Oct 15, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Ghosts & Angels Psychotherapy for Children & Their Grownups, PLLC

  • Clinical Social Worker
  • Los Angeles, CA
  • NPI 1760269740
  NPD Authorized official
• Youth Eastside Services

  • Community/Behavioral Health Agency
  • Bellevue, WA
  • NPI 1356496335
  NPD (past)

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1740756998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 W RIVERSIDE AVE # 5518",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010580",
            "telephone_number": "360-930-3624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 WILCOX AVE APT 104",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900385600",
            "telephone_number": "360-930-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEROME",
        "first_name": "SARA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-15",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON DEPARTMENT OF HEALTH",
            "identifier": "CG0888288",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Bearden Jernigan, PA-C
• Kelly Elizabeth Jernigan, PA-C
• Tamekia Nicole Jernigan
• Jerome E. Goldwasser, M.D.
• Jerome Tepperman Psychology Corp
• Elizabeth Jeronimo-Mejia
• Jessi Jeronimo
• Ritchie Jeronimo
• Jerrica Kirkley M.D., P.C.
• Jerrold H Steiner MD a Medical Corp

• Clinical Social Worker in Los Angeles, CA
• Providers in Los Angeles, 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 Dec 15, 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.

Verify at the official NPI Registry.