Individual provider Active NPI

Jazmin Briseno

  • Clinical Social Worker
  • Commerce, CA
National Provider Identifier
1831433184
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW97960 Issued in CA
Practice address
6001 E Washington Blvd
Commerce, CA 90040-2451
Phone
(562) 928-9600
NPI assigned
Nov 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X LCSW97960 CA
Clinical Social Worker 1041C0700X LCSW97960 CA Primary

Addresses

Primary practice location

6001 E Washington Blvd
Commerce, CA 90040-2451

Mailing address

6001 E Washington Blvd
Commerce, CA 90040-2451
Phone (562) 928-9600

Other practice location 1

6119 Agra St
Bell Gardens, CA 90201-1705
Phone (562) 928-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW97960CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1831433184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 E WASHINGTON BLVD",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900402451",
            "telephone_number": "562-928-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 E WASHINGTON BLVD",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900402451",
            "telephone_number": "562-928-9600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6119 Agra St",
            "address_purpose": "LOCATION",
            "city": "Bell Gardens",
            "state": "CA",
            "postal_code": "902011705",
            "country_code": "US",
            "telephone_number": "562-928-9600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRISENO",
        "first_name": "JAZMIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCSW97960",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW97960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce, CA

Sources for this page

Verify at the official NPI Registry.