Active NPI
Joyce Virginia James, LCSW
- Clinical Social Worker
- La Mesa, CA
National Provider Identifier
1790955458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5471
- Practice address
- 4700 Spring St Ste 306
La Mesa, CA 91942-2294 - Phone
- (203) 586-6149
- Fax
- (203) 692-4144
- NPI assigned
- Mar 8, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 5471 | CA | Primary |
| Clinical Social Worker | 1041C0700X | 007175 | CT |
Addresses
Primary practice location
4700 Spring St Ste 306
La Mesa, CA 91942-2294
Mailing address
5700 Baltimore Dr Unit 32
La Mesa, CA 91942-1610
Phone (203) 586-6149
Other practice location 1
1449 Old Waterbury Rd
Suite 306E
Southbury, CT 06488-3926
Phone (203) 586-6149
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12012790 | Other | CAQH ID |
Other names 1
- Joyce Virginia Wofford
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171011003716 | CA | Practitioner - Clinical Social Worker | 4688719206 | Practice locations: La Mesa, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4700 Spring St
Suite 306
La Mesa, CA 91942-2294
Phone (203) 586-6149
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007175 | CT | MD | Clinical Social Worker |
| 5471 | CA | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1790955458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 BALTIMORE DR UNIT 32",
"city": "LA MESA",
"state": "CA",
"postal_code": "919421610",
"telephone_number": "203-586-6149",
"fax_number": "203-692-4144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 SPRING ST STE 306",
"city": "LA MESA",
"state": "CA",
"postal_code": "919422294",
"telephone_number": "203-586-6149",
"fax_number": "203-692-4144"
}
],
"practiceLocations": [
{
"address_1": "1449 Old Waterbury Rd",
"address_2": "Suite 306E",
"address_purpose": "LOCATION",
"city": "Southbury",
"state": "CT",
"postal_code": "064883926",
"country_code": "US",
"telephone_number": "203-586-6149",
"fax_number": "203-692-4144",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAMES",
"first_name": "JOYCE",
"middle_name": "VIRGINIA",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-08",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "5471",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "007175",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH ID",
"identifier": "12012790",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JOYCE",
"last_name": "WOFFORD",
"middle_name": "VIRGINIA",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.