Individual provider Active NPI

Jennifer Berger, LCSW

  • Clinical Social Worker
  • Ladera Ranch, CA
National Provider Identifier
1851789333
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
88337 Issued in CA
Practice address
25 Tarleton LN
Ladera Ranch, CA 92694-1303
Phone
(949) 422-2800
NPI assigned
Jan 6, 2015
Last updated
Mar 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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 88337 CA Primary

Addresses

Primary practice location

25 Tarleton LN
Ladera Ranch, CA 92694-1303

Mailing address

25 Tarleton LN
Ladera Ranch, CA 92694-1303
Phone (949) 422-2800

Other practice location 1

29222 Rancho Viejo Rd
Ste. 122
San Juan Capistrano, CA 92675-1041
Phone (949) 429-6888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1851789333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 TARLETON LN",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926941303",
            "telephone_number": "949-422-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 TARLETON LN",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926941303",
            "telephone_number": "949-422-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29222 Rancho Viejo Rd",
            "address_2": "Ste. 122",
            "address_purpose": "LOCATION",
            "city": "San Juan Capistrano",
            "state": "CA",
            "postal_code": "926751041",
            "country_code": "US",
            "telephone_number": "949-429-6888",
            "fax_number": "949-429-6868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGER",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-06",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "88337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ladera Ranch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.