Individual provider Active NPI

Jazmyne Thomas, LCSW

  • Clinical Social Worker
  • Spring Valley, CA
National Provider Identifier
1902561632
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
99176 Issued in CA
Practice address
8962 Arlingdale Way
Spring Valley, CA 91977
Phone
(619) 289-7711
NPI assigned
Nov 8, 2021
Last updated
Feb 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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 99176 CA Primary

Addresses

Primary practice location

8962 Arlingdale Way
Spring Valley, CA 91977

Mailing address

8962 Arlingdale Way
Spring Valley, CA 91977-3353
Phone (619) 289-7711

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@3ptherapy.biz

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
99176CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
3P Therapy PC Clinical CurrentSince Feb 13, 2022 Accepting new patients

Organizations & group practices 1

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": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1902561632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8962 ARLINGDALE WAY",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919773353",
            "telephone_number": "619-289-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8962 ARLINGDALE WAY",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "91977",
            "telephone_number": "619-289-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JAZMYNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-08",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "99176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@3ptherapy.biz",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "8962 Arlingdale Way",
            "city": "Spring Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "919773353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spring Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.