Individual provider Active NPI

Janneke M. Jobsis-Brown, LCSW

  • Clinical Social Worker
  • Morgan Hill, CA
National Provider Identifier
1982883278
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS14802 Issued in CA
Practice address
50 W Main Ave Ste C
Morgan Hill, CA 95037-4567
Phone
(408) 779-4408
Fax
(408) 779-4408
NPI assigned
Nov 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS14802 CA Primary
School Social Worker 1041S0200X CA

Addresses

Primary practice location

50 W Main Ave Ste C
Morgan Hill, CA 95037-4567

Mailing address

50 W Main Ave Ste C
Morgan Hill, CA 95037-4567
Phone (408) 779-4408

Other identifiers 1

IdentifierTypeStateIssuer
11331765OtherCACAQH

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
LCS14802CAMDClinical Social Worker
PPSC 060109452CAMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1982883278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 W MAIN AVE STE C",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950374567",
            "telephone_number": "408-779-4408",
            "fax_number": "408-779-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W MAIN AVE STE C",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950374567",
            "telephone_number": "408-779-4408",
            "fax_number": "408-779-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOBSIS-BROWN",
        "first_name": "JANNEKE",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-02",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS14802",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11331765",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.