Individual provider Active NPI

Priscilla A Jones, LCSW

  • Clinical Social Worker
  • Sacramento, CA
National Provider Identifier
1942467303
Registry record updated Nov 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
72978 Issued in CA
Practice address
3946 Norwood Ave.
Sacramento, CA 95838-3300
Phone
(916) 564-0521
Fax
(877) 860-2907
NPI assigned
May 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2018

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 72978 CA Primary

Addresses

Primary practice location

3946 Norwood Ave.
Sacramento, CA 95838-3300

Mailing address

625 Fair Oaks Ave., #270
South Pasadena, CA 91030-5801
Phone (626) 346-2455

Other names 1

  • Priscilla Anne Lopez Former name

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
I20190107000788 CA Practitioner - Clinical Social Worker 2466798889 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Post-Acute Care of California PC Clinical CurrentSince Sep 20, 2022 Accepting new patients
Cognitive Care Solutions Group Inc CurrentSince Apr 11, 2022 Accepting new patients

Locations

5454 Walnut Ave
Chino, CA 91710
Phone (760) 450-5679

6400 Purdue Dr
Eureka, CA 95503
Phone (707) 443-5668

3943 Irvine Blvd
Irvine, CA 92602
Phone (714) 922-0120

23461 S Pointe Dr
Ste 240
Laguna Hills, CA 92653
Phone (714) 545-3390

39950 Vista del Sol
Rancho Mirage, CA 92270
Phone (760) 340-0053

501 Jessie Ave
Sacramento, CA 95838
Phone (916) 922-8855

830 E Chapel St
Santa Maria, CA 93454
Phone (805) 544-5100

27350 Nicolas Rd
Temecula, CA 92591
Phone (714) 545-3390

250 Fairview Rd
Thousand Oaks, CA 91361
Phone (707) 964-6333

7057 Shoup Ave
West Hills, CA 91307
Phone (818) 348-8422

Organizations & group practices 3

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": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1942467303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 FAIR OAKS AVE., #270",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910305801",
            "telephone_number": "626-346-2455",
            "fax_number": "916-480-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3946 NORWOOD AVE.",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958383300",
            "telephone_number": "916-564-0521",
            "fax_number": "877-860-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "PRISCILLA",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "72978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRISCILLA",
            "last_name": "LOPEZ",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.