Individual provider Active NPI

Jennifer Brazinsky Jones, L.C.S.W.

  • Clinical Social Worker
  • Petaluma, CA
National Provider Identifier
1841622768
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 18466 Issued in CA
Practice address
205 Keller St Ste 205
Petaluma, CA 94952-2878
Phone
(707) 364-9764
NPI assigned
Aug 1, 2013
Last updated
Feb 16, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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 LCS 18466 CA Primary

Addresses

Primary practice location

205 Keller St Ste 205
Petaluma, CA 94952-2878

Mailing address

205 Keller St Ste 205
Petaluma, CA 94952-2878
Phone (707) 364-9764

Other names 1

  • Jennifer Brazinsky-Jones Professional 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
I20160711002417 CA Practitioner - Clinical Social Worker 7618269747 Practice locations: Petaluma, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

47 6TH St
Suite 205
Petaluma, CA 94952-3092
Phone (707) 364-9764

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 18466CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Relationship Center for Change a Clinical PastSince Jul 16, 2013 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487203200000",
    "number": "1841622768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 KELLER ST STE 205",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949522878",
            "telephone_number": "707-364-9764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 KELLER ST STE 205",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949522878",
            "telephone_number": "707-364-9764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZINSKY JONES",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-01",
        "last_updated": "2017-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 18466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BRAZINSKY-JONES",
            "credential": "L.C.S.W.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Petaluma, CA

Sources for this page

Verify at the official NPI Registry.