Individual provider Active NPI

Joyce Virginia James, LCSW

  • Clinical Social Worker
  • La Mesa, CA
National Provider Identifier
1790955458
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5471 Issued in CA
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
12012790OtherCAQH ID

Other names 1

  • Joyce Virginia Wofford Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
007175CTMDClinical Social Worker
5471CAMDSpeech-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

Verify at the official NPI Registry.