Individual provider Active NPI

Jeanine Lenore Ewert, MSW

  • Clinical Social Worker
  • Sacramento, CA
National Provider Identifier
1891984878
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW25307 Issued in CA
Practice address
1610 Executive CT
Sacramento, CA 95864-2608
Phone
(916) 359-2950
Fax
(916) 333-5970
NPI assigned
Oct 16, 2007
Last updated
Mar 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ASW 16710 NU
Clinical Social Worker 1041C0700X LCSW25307 CA Primary

Addresses

Primary practice location

1610 Executive CT
Sacramento, CA 95864-2608

Mailing address

1610 Executive CT
Sacramento, CA 95864-2608
Phone (916) 359-2950

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
I20120501000826 CA Practitioner - Clinical Social Worker 7214199645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Human Touch Behavioral Health IncGroup PAC ID 7113358755, 7 clinicians

Practice addresses (Care Compare)

1610 Executive CT
Sacramento, CA 95864-2608
Phone 91635929501015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW25307CAMDClinical Social Worker
25307CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Human Touch Behavioral Health Inc CurrentSince May 20, 2020 Accepting new patients
Business Needs PastSince Aug 15, 2017 Accepting new patients

Locations

1337 Howe Ave
Ste 135
Sacramento, CA 95825
Phone (606) 392-4055

1610 Executive Ct
Sacramento, CA 95864
Phone (916) 359-2950

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1891984878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 EXECUTIVE CT",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958642608",
            "telephone_number": "916-359-2950",
            "fax_number": "916-333-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 EXECUTIVE CT",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958642608",
            "telephone_number": "916-359-2950",
            "fax_number": "916-333-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWERT",
        "first_name": "JEANINE",
        "middle_name": "LENORE",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-16",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": "ASW 16710",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW25307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.