Individual provider Active NPI

Dasomi Jang, LCSW

  • Clinical Social Worker
  • Orlando, FL
National Provider Identifier
1972253797
Registry record updated Mar 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19542 Issued in FL
Practice address
4001 Pelee St
Orlando, FL 32817-3100
Phone
(407) 718-1581
NPI assigned
Mar 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2022

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 19542 FL Primary

Addresses

Primary practice location

4001 Pelee St
Orlando, FL 32817-3100

Mailing address

11434 Rapallo LN
Windermere, FL 34786-6029
Phone (407) 218-9759

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Dasomi.jang@embracefamililes.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
19542FLMDClinical Social Worker

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20723/brand/1/csg/1/fhir/r4
  • Direct secure messaging: dasomi.jang@embracefamililes.org

NPI Registry JSON

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648339200000",
    "number": "1972253797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11434 RAPALLO LN",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347866029",
            "telephone_number": "407-218-9759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 PELEE ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328173100",
            "telephone_number": "407-718-1581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANG",
        "first_name": "DASOMI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-03-27",
        "certification_date": "2022-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "19542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Dasomi.jang@embracefamililes.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4001 Pelee St",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328173100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2022; 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.