Active NPI
Sara Jones, CSW
- Clinical Social Worker
- West Hollywood, CA
National Provider Identifier
1972843118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 62415
- Practice address
- 1245 N Hayworth Ave Apt 6
West Hollywood, CA 90046-5484 - Phone
- (415) 302-2670
- NPI assigned
- Feb 25, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 24657 | CA | |
| Clinical Social Worker | 1041C0700X | 62415 | CA | Primary |
Addresses
Primary practice location
1245 N Hayworth Ave Apt 6
West Hollywood, CA 90046-5484
Mailing address
1245 N Hayworth Ave Apt 6
West Hollywood, CA 90046-5484
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 |
|---|---|---|---|
| 62415 | CA | MD | Dentist |
| 24657 | CA | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550016000000",
"number": "1972843118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1245 N HAYWORTH AVE APT 6",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900465484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 N HAYWORTH AVE APT 6",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900465484",
"telephone_number": "415-302-2670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "SARA",
"credential": "CSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-25",
"last_updated": "2019-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "24657",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "62415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.