Jason Matt Woodrum, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW110971 Issued in CA

Practice address

18 Garrison Loop
Ladera Ranch, CA 92694-0605

Phone

(714) 732-4437

NPI assigned

Jun 10, 2016

Last updated

Jun 12, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1770932600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 CHIANTI",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926941402",
            "telephone_number": "714-732-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 GARRISON LOOP",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926940605",
            "telephone_number": "714-732-4437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRUM",
        "first_name": "JASON",
        "middle_name": "MATT",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-10",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW110971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leann Arleen Williams, MD
• Nicholas Williams
• Brittney Winn
• Jane Won, DACCHM, L.AC.
• Brandon Wong, RPH
• Shayan Yazdani, DC
• Karley M Young, RD
• Cristina Daniela Zapata
• Hannah Michelle Zehring

• Clinical Social Worker in Ladera Ranch, CA
• Providers in Ladera Ranch, 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 Jun 12, 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.