Individual provider Active NPI

Imani Saint Jean, MSW, MA.ED

  • Clinical Social Worker
  • Alameda, CA
National Provider Identifier
1790542900
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
121167 Issued in CA
Practice address
457 Buena Vista Ave Apt 113
Alameda, CA 94501-1992
Phone
(415) 559-9663
NPI assigned
Mar 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 121167 CA Primary

Addresses

Primary practice location

457 Buena Vista Ave Apt 113
Alameda, CA 94501-1992

Mailing address

457 Buena Vista Ave Apt 113
Alameda, CA 94501-1992
Phone (415) 559-9663

Other names 1

  • Iman Saint Jean Professional name

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

LicenseStateTypeSpecialty
121167CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1790542900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 BUENA VISTA AVE APT 113",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945011992",
            "telephone_number": "415-559-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 BUENA VISTA AVE APT 113",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945011992",
            "telephone_number": "415-559-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAINT JEAN",
        "first_name": "IMANI",
        "credential": "MSW, MA.ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "121167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IMAN",
            "last_name": "SAINT JEAN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Alameda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.