Jarie McCoy, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

74682 Issued in CA

Practice address

5100 Obyrnes Ferry Rd
Jamestown, CA 95327-9102

Phone

(209) 984-5291

NPI assigned

Aug 18, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jarie Hamilton-Graves Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Corrections and Rehabilitation-Headquarters

  • Pharmacy
  • Jamestown, CA
  • NPI 1871898304
  NPD
• Sierra Conservation Center

  • Adult Mental Health Clinic/Center
  • Jamestown, CA
  • NPI 1710427778
  NPD (past)

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1982919676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 OBYRNES FERRY RD",
            "address_2": "ALTERNATIVE CUSTODY PROGRAM",
            "city": "JAMESTOWN",
            "state": "CA",
            "postal_code": "953279102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 OBYRNES FERRY RD",
            "city": "JAMESTOWN",
            "state": "CA",
            "postal_code": "953279102",
            "telephone_number": "209-984-5291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "JARIE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-18",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "74682",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "74682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JARIE",
            "last_name": "HAMILTON-GRAVES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michelle J Low
• Blong Roger Ly, DDS
• Alejandro Gastello Martinez, SOCIAL WORKER
• Mathiesen Memorial Health Center
• Mathiesen Memorial Health Clinic
• Young Quoc Ngo, D.D.S
• Lucia Thomas Olson, LMFT
• Russell Dean Park, PHD
• Shawna Patricia Parker, NP
• Edwin Pimentel Sr., SUDRC

• All providers in Jamestown, CA
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.