Jamillah Walidah Pargo-Thompson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW77401 Issued in CA

Practice address

1255 E Vista Way Ste 221
Vista, CA 92084-4039

Phone

(442) 322-7042

Fax

(760) 254-8594

NPI assigned

Aug 29, 2012

Last updated

Feb 2, 2022By the provider in NPPES

Sex

Female

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

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Memory Check Psychological Services, a Professional Corporation

  • Clinical Psychologist
  • Carlsbad, CA
  • NPI 1912184219
  Medicare reassignment NPD
• Psycare Inc

  • Mental Health Counselor
  • San Diego, CA
  • NPI 1811927106
  NPD

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1881943405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 E VISTA WAY STE 221",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920844039",
            "telephone_number": "442-322-7042",
            "fax_number": "760-254-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 E VISTA WAY STE 221",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920844039",
            "telephone_number": "442-322-7042",
            "fax_number": "760-254-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARGO-THOMPSON",
        "first_name": "JAMILLAH",
        "middle_name": "WALIDAH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW77401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa Gema Pamatz
• Chelsea Pancari, RD
• Sunila Panchal
• Anna Panchenko
• Michael Frederick Pangborn Jr.
• Sue Ann Park, MD
• Sherine B Parker, M.D.
• Monica Parks, MD
• Samantha Parra
• Yessenia Monae Parra

• Clinical Social Worker in Vista, CA
• Providers in Vista, 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 Feb 2, 2022; 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.