Shanta Jambotkar, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

27940 Issued in CA

Practice address

870 Market St Ste 549
San Francisco, CA 94102-3026

Phone

(510) 519-6652

NPI assigned

Feb 23, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1972876803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 MARKET ST STE 549",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941023026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 MARKET ST STE 549",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941023026",
            "telephone_number": "510-519-6652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2222 Bancroft Way",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947201830",
            "country_code": "US",
            "telephone_number": "510-642-5871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMBOTKAR",
        "first_name": "SHANTA",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-23",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "27940",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "27940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya McSpadden Jamaica
• Fatemeh Jamali
• Layli Jamali, M.D.
• Mana Jamali, DMD
• Bayan Jamay, LCSW
• Mary Elizabeth Jame
• Taylor Alyse Jamerson
• James D. Jacobitz, M.D. Inc.
• James E. Schwanke, MD. (Noe Valley Pediatrics, A Medical Group Incorporaated)
• James G Garrick M D a Professional Corporation

• Clinical Social Worker in San Francisco, CA
• Providers in San Francisco, 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 Sep 10, 2020; 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.