Individual provider Active NPI

Jenna Schoeppe

  • Social Worker
  • West Sacramento, CA
National Provider Identifier
1982079216
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
96877 Issued in CA
Practice address
3120 Freeboard Dr Ste 102
West Sacramento, CA 95691-5039
Phone
(916) 840-1256
NPI assigned
Dec 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 96877 CA
Case Manager/Care Coordinator 171M00000X
Social Worker 104100000X 96877 CA Primary

Addresses

Primary practice location

3120 Freeboard Dr Ste 102
West Sacramento, CA 95691-5039

Mailing address

3120 Freeboard Dr Ste 102
West Sacramento, CA 95691-5039
Phone (916) 840-1256

Other practice location 1

4815 Watt Ave
North Highlands, CA 95660-5108
Phone (916) 454-2345

Other practice location 2

1525 Plumas Ct Ste C&d
Yuba City, CA 95991-2971
Phone (530) 418-1001

Other practice location 3

1525 Plumas Ct
Yuba City, CA 95991-2971
Phone (530) 418-1001

Other practice location 4

3737 Marconi Ave
Sacramento, CA 95821-5303
Phone (916) 480-1801

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
96877CAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1982079216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 FREEBOARD DR STE 102",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956915039",
            "telephone_number": "916-840-1256",
            "fax_number": "916-256-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 FREEBOARD DR STE 102",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956915039",
            "telephone_number": "916-840-1256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4815 Watt Ave",
            "address_purpose": "LOCATION",
            "city": "North Highlands",
            "state": "CA",
            "postal_code": "956605108",
            "country_code": "US",
            "telephone_number": "916-454-2345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1525 Plumas Ct Ste C&d",
            "address_purpose": "LOCATION",
            "city": "Yuba City",
            "state": "CA",
            "postal_code": "959912971",
            "country_code": "US",
            "telephone_number": "530-418-1001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1525 Plumas Ct",
            "address_purpose": "LOCATION",
            "city": "Yuba City",
            "state": "CA",
            "postal_code": "959912971",
            "country_code": "US",
            "telephone_number": "530-418-1001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3737 Marconi Ave",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958215303",
            "country_code": "US",
            "telephone_number": "916-480-1801",
            "fax_number": "916-480-1809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHOEPPE",
        "first_name": "JENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-11",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "96877",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "96877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.