Esteban Juarez, LCSW #28425

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

28425 Issued in CA

Practice address

3151 Airway Ave Ste F107
Costa Mesa, CA 92626-4623

Phone

(714) 618-1583

NPI assigned

Aug 14, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Free at Heart Online Therapy Licensed Clinical Social Worker PC

  • Clinical Social Worker
  • Fullerton, CA
  • NPI 1669049581
  NPD (past)

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407974400000",
    "number": "1851790968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926586100",
            "telephone_number": "949-764-5947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 AIRWAY AVE STE F107",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264623",
            "telephone_number": "714-618-1583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUAREZ",
        "first_name": "ESTEBAN",
        "credential": "LCSW #28425",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "28425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Brian Jorgenson, DDS
• Jose Mayorga, M.D., Inc.
• Claire Josephson
• Journeys Counseling Ministry
• Alise Marie Juanes, ATC
• Jocelyn Juarez
• David Juelfs
• Lauren Jufiar
• Julia Evans PHD Psychology PC
• K.W. Health Partners, Inc.

• Clinical Social Worker in Costa Mesa, CA
• Providers in Costa Mesa, 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 Aug 14, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.