Individual provider Active NPI

Jenna L Seto Newland, LCSW

  • Clinical Social Worker
  • Palm Desert, CA
National Provider Identifier
1902452956
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW99353 Issued in CA
Practice address
77564 Country Club Dr Ste 234
Palm Desert, CA 92211-6250
Phone
(760) 895-1352
NPI assigned
Aug 15, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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 LCSW99353 CA Primary

Addresses

Primary practice location

77564 Country Club Dr Ste 234
Palm Desert, CA 92211-6250

Mailing address

77564 Country Club Dr Ste 234
Palm Desert, CA 92211-6250
Phone (760) 895-1352

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
LCSW99353CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jenna Seto Licensed Clinical Social Worker, Inc. Clinical CurrentSince Aug 25, 2024 Accepting new patients
Blue Tiger Recovery Inc Clinical PastSince Aug 1, 2019 Accepting new patients

Locations

77564 Country Club Dr
Ste 234
Palm Desert, CA 92211
Phone (760) 895-1352

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13108/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1902452956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77564 COUNTRY CLUB DR STE 234",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116250",
            "telephone_number": "760-895-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77564 COUNTRY CLUB DR STE 234",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116250",
            "telephone_number": "760-895-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SETO NEWLAND",
        "first_name": "JENNA",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW99353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.