Individual provider Active NPI

M Jane McGlocklin-Noble, LCSW

  • Clinical Social Worker
  • Tustin, CA
National Provider Identifier
1932723434
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW63556 Issued in CA
Practice address
17542 17TH St Ste 300
Tustin, CA 92780-1960
Phone
(714) 734-5464
Fax
(714) 734-7590
NPI assigned
Jun 1, 2020
Last updated
Jun 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

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 LCSW63556 CA Primary

Addresses

Primary practice location

17542 17TH St Ste 300
Tustin, CA 92780-1960

Mailing address

17542 17TH St Ste 300
Tustin, CA 92780-1960
Phone (714) 734-5464

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Jane.M.McGlocklin@kp.org Direct

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
LCSW63556CAMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: jane.m.mcglocklin@kp.org

NPI Registry JSON

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1932723434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17542 17TH ST STE 300",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927801960",
            "telephone_number": "714-734-5464",
            "fax_number": "714-734-7590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17542 17TH ST STE 300",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927801960",
            "telephone_number": "714-734-5464",
            "fax_number": "714-734-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGLOCKLIN-NOBLE",
        "first_name": "M",
        "middle_name": "JANE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-01",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW63556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jane.M.McGlocklin@kp.org",
            "affiliation": "N",
            "endpointDescription": "E-Mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "E-Mail",
            "address_1": "17542 17th St Ste 300",
            "city": "Tustin",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927801960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; 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.