Individual provider Active NPI

Jamie Stallings, LCSW

  • Clinical Social Worker
  • San Jacinto, CA
National Provider Identifier
1881049963
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW91920 Issued in CA
Practice address
701 W Esplanade Ave
San Jacinto, CA 92582-4540
Phone
(951) 452-2289
NPI assigned
Apr 26, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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 LCSW91920 CA Primary

Addresses

Primary practice location

701 W Esplanade Ave
San Jacinto, CA 92582-4540

Mailing address

701 W Esplanade Ave
San Jacinto, CA 92582-4540
Phone (951) 452-2289

Other practice location 1

41002 County circle Dr. A225
Temecula, CA 92591
Phone (951) 600-6009

Other practice location 2

46900 Monroe St Ste 101
Indio, CA 92201-4828
Phone (760) 863-7219

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

State licenses

LicenseStateTypeSpecialty
LCSW91920CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1881049963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W ESPLANADE AVE",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925824540",
            "telephone_number": "951-452-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W ESPLANADE AVE",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925824540",
            "telephone_number": "951-452-2289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41002 County circle Dr.  A225",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "92591",
            "country_code": "US",
            "telephone_number": "951-600-6009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "46900 Monroe St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Indio",
            "state": "CA",
            "postal_code": "922014828",
            "country_code": "US",
            "telephone_number": "760-863-7219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STALLINGS",
        "first_name": "JAMIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-26",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW91920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jacinto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; 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.