Individual provider Active NPI

Janet Lacey Schwertscharf, LCSW

  • Clinical Social Worker
  • Crescent City, CA
National Provider Identifier
1871923987
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 23911 Issued in CA
Practice address
415 US Highway 101 S # 2
Crescent City, CA 95531-4464
Phone
(707) 465-3331
Fax
(707) 465-3366
NPI assigned
Nov 26, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2018

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 23911 CA Primary

Addresses

Primary practice location

415 US Highway 101 S # 2
Crescent City, CA 95531-4464

Mailing address

PO Box 2014
Crescent City, CA 95531-6014
Phone (707) 465-3331

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
I20181217001294 CA Practitioner - Clinical Social Worker 8022353234 Practice locations: Crescent City, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

415 US Hwy 101 S
Crescent City, CA 95531-4464
Phone (707) 465-3331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 23911CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1871923987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2014",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955316014",
            "telephone_number": "707-465-3331",
            "fax_number": "707-465-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 US HIGHWAY 101 S # 2",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955314464",
            "telephone_number": "707-465-3331",
            "fax_number": "707-465-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWERTSCHARF",
        "first_name": "JANET",
        "middle_name": "LACEY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-26",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 23911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crescent City, CA

Sources for this page

Verify at the official NPI Registry.