Active NPI
Jessica Dyer, ASW
- Clinical Social Worker
- Arcata, CA
National Provider Identifier
1871929034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 69106
- Practice address
- 381 Bayside Rd Ste C
Arcata, CA 95521-7102 - Phone
- (707) 601-9734
- NPI assigned
- Sep 19, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 69106 | CA | |
| Social Worker | 104100000X | 32053 | CA | |
| Clinical Social Worker | 1041C0700X | 69106 | CA | Primary |
Addresses
Primary practice location
381 Bayside Rd Ste C
Arcata, CA 95521-7102
Mailing address
381 Bayside Rd Ste C
Arcata, CA 95521-7102
Phone (707) 601-9734
Other practice location 1
3124 International Blvd
Oakland, CA 94601-2902
Phone (510) 434-5421
Other names 1
- Jessica Vu
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69106 | CA | MD | Pharmacist |
| 32053 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740441600000",
"number": "1871929034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "381 BAYSIDE RD STE C",
"city": "ARCATA",
"state": "CA",
"postal_code": "955217102",
"telephone_number": "707-601-9734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "381 BAYSIDE RD STE C",
"city": "ARCATA",
"state": "CA",
"postal_code": "955217102",
"telephone_number": "707-601-9734"
}
],
"practiceLocations": [
{
"address_1": "3124 International Blvd",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946012902",
"country_code": "US",
"telephone_number": "510-434-5421",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DYER",
"first_name": "JESSICA",
"credential": "ASW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-19",
"last_updated": "2025-02-25",
"certification_date": "2025-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "69106",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "32053",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "69106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "VU",
"credential": "CAPLE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Arcata, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.