IndividualActive
Jennifer Blum, LCSW
NPI 1063901775 · Clinical Social Worker · San Marcos, CA
Provider details
- NPI number
- 1063901775
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 253264 (KY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
300 Rancheros Dr Ste 130
San Marcos, CA 92069-2968
Phone: (858) 279-1223
Street-level locationGet directions
Mailing address
300 Rancheros Dr Ste 130
San Marcos, CA 92069-2968
Additional practice locations (3)
- 2271 Alpine Blvd Ste aAlpine, CA 91901-1101Phone: (888) 688-0248Fax: (888) 291-4799
- 5201 Great America Pkwy Ste 320Santa Clara, CA 95054-1140Phone: (323) 205-7088
- 1941 Bishop Ln Ste 1019Louisville, KY 40218-1928Phone: (502) 851-6384
Registry dates
- Enumerated
- 2018-05-08
- Last updated
- 2025-03-04
- Certified
- 2025-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.