Active NPI
Jayda Arione Thomas, ASW
- Social Worker
- San Diego, CA
National Provider Identifier
1952170979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 116438
- Practice address
- 16904 Rendevous Cir
San Diego, CA 92127 - Phone
- (256) 604-1493
- NPI assigned
- Jan 2, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Social Worker | 104100000X | 116438 | CA | Primary |
Addresses
Primary practice location
16904 Rendevous Cir
San Diego, CA 92127
Mailing address
16904 Rendevous Cir
San Diego, CA 92127
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
| License | State | Type | Specialty |
|---|---|---|---|
| 116438 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723593600000",
"number": "1952170979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16904 RENDEVOUS CIR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16904 RENDEVOUS CIR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92127",
"telephone_number": "256-604-1493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "JAYDA",
"middle_name": "ARIONE",
"credential": "ASW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-02",
"last_updated": "2024-08-14",
"certification_date": "2024-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "116438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.