Individual provider Active NPI

Jaimie Page, LCSW, PHD

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1942857248
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
129725 Issued in CA
Practice address
2185 Station Village Way Apt 2110
San Diego, CA 92108-6522
Phone
(760) 717-4428
NPI assigned
Aug 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 14940 TX
Clinical Social Worker 1041C0700X L13213 OR
Clinical Social Worker 1041C0700X 129725 CA Primary

Addresses

Primary practice location

2185 Station Village Way Apt 2110
San Diego, CA 92108-6522

Mailing address

2185 Station Village Way Apt 2110
San Diego, CA 92108-6522
Phone (760) 717-4428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221207002616 OR Practitioner - Clinical Social Worker 7911376371 Reassigns benefits to 1 organization
I20250509002559 CA Practitioner - Clinical Social Worker 7911376371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
99.11 of 100Reported as apm
Quality
84.29
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
14940TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
San Diego American Indian Health Center Addiction (Substance Use Disorder) CurrentSince Apr 28, 2025 Accepting new patients
Better Tomorrows Begin Today Counseling PLLC Addiction (Substance Use Disorder) CurrentSince Apr 24, 2024 Accepting new patients
Rayl Enterprises Addiction (Substance Use Disorder) PastSince Aug 1, 2019 Accepting new patients

Locations

2602 1st Ave
Ste 105
San Diego, CA 92103

2630 1st Ave
Ste 200
San Diego, CA 92103
Phone (619) 234-2158

2630 1st Ave
Ste 209
San Diego, CA 92103

2630 1st Ave
Ste 204
San Diego, CA 92103

2630 1st Ave
San Diego, CA 92103
Phone (619) 234-2158

2410 SE 121st Ave
Ste 206
Portland, OR 97216
Phone (503) 446-5450

3610 Smith Barry Rd
Ste 105
Pantego, TX 76013
Phone (817) 210-5674

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IFGCCD

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, 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": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1942857248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2185 STATION VILLAGE WAY APT 2110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921086522",
            "telephone_number": "760-717-4428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2185 STATION VILLAGE WAY APT 2110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921086522",
            "telephone_number": "760-717-4428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "JAIMIE",
        "credential": "LCSW, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-21",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "14940",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L13213",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "129725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.