Support Network of the Bay Area

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SUPPORT NETWORK OF THE BAY AREA

Practice address

293 Sunshine Dr
Pacifica, CA 94044-1129

Phone

(415) 999-5613

NPI assigned

Jun 5, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Jonathan Justin Newsome, LCSWNPI 1336982495

Title

Psychotherapist

Phone

(415) 999-5613

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan Justin Newsome, MSW , LCSW

  • Clinical Social Worker
  • Pacifica, CA
  • NPI 1336982495
  NPD Authorized official

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559692800000",
    "number": "1952969743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 SUNSHINE DR",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940441129",
            "telephone_number": "415-999-5613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 SUNSHINE DR",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940441129",
            "telephone_number": "415-999-5613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORT NETWORK OF THE BAY AREA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-06-05",
        "status": "A",
        "authorized_official_last_name": "NEWSOME",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "JUSTIN",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "415-999-5613",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine Sta-Iglesia, LAC
• Andrea D Stephens, LMFT
• Adam A Sternak, DPM
• Amelia Owens Sullivan, MFT
• Sophia Wong Sun, O.D.
• Casey-Lynn Tamayo, CMT
• William A Tarran, DPM
• Svitlana Tashniyazova
• Annette M Taylor, MFT
• Brittany Janee Taylor, DNP, AGNP-C

• Clinical Social Worker in Pacifica, CA
• Providers in Pacifica, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; 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.