Jeryl Kalinowski, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

27772 Issued in CA

Practice address

5675 Ruffin Rd
325
San Diego, CA 92123-1424

Phone

(858) 467-9170

Fax

(858) 467-9179

NPI assigned

Sep 16, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2017 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• LDS Family Services

  dba LDS Family Services CA San Diego

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Diego, CA
  • NPI 1710069281
  NPD (past)
• Bear River Medical Arts PC

  • Family Medicine Physician
  • Garland, UT
  • NPI 1932195682
  NPD (past)
• Bear River Mental Health Services Inc

  • Mental Health Counselor
  • Logan, UT
  • NPI 1285736553
  NPD (past)
• Douglas C. Walker D.O., P.C.

  • Family Medicine Physician
  • Garland, UT
  • NPI 1306843750
  NPD (past)
• LDS Family Services

  dba LDS Family Services UT Logan Agency

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Logan, UT
  • NPI 1801994132
  NPD (past)
• Louis S. Naegle, LCSW, P.C.

  • Marriage & Family Therapist
  • Bountiful, UT
  • NPI 1003056862
  NPD (past)

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1811982697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5675 RUFFIN RD",
            "address_2": "325",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231424",
            "telephone_number": "858-467-9170",
            "fax_number": "858-467-9179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5675 RUFFIN RD",
            "address_2": "325",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231424",
            "telephone_number": "858-467-9170",
            "fax_number": "858-467-9179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALINOWSKI",
        "first_name": "JERYL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-16",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "51236033501",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "27772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hasan Kalin
• Paul D Kalina, PA-C
• Johnny Kalinchok
• Alana Grace Kalinowski
• Alexandra Kalinowski, RBT
• Katrina Kalinowski
• Hannah Elizabeth Kalish, FNP-BC
• Mark A. Kalish, M.D.
• Sherry Kalish
• Kayla Kalisz

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, 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 5, 2016; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.