What is Jacob Avery's NPI number?

Jacob Avery's National Provider Identifier (NPI) is 1558639989, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jacob Avery's specialty?

Jacob Avery is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).

Where is Jacob Avery located?

Jacob Avery's practice location on file with NPPES is 4258 Hawk St, San Diego, CA 92103-1357.

What is Jacob Avery's phone number?

The practice phone number listed in the NPPES registry for Jacob Avery is (619) 727-7167.

Is Jacob Avery's NPI active?

Yes — Jacob Avery's NPI (1558639989) is active in the NPPES registry as of the last update on 2011-12-13.

IndividualActive

Jacob Avery, LCSW

NPI 1558639989 · Clinical Social Worker · San Diego, CA

Jacob Avery, LCSW is a Clinical Social Worker provider in San Diego, CA (NPI 1558639989).

Provider details

NPI number: 1558639989
Entity type: Individual
Primary specialty: Clinical Social WorkerBehavioral Health & Social Service Providers
Credential: LCSW
Sex: Male
Sole proprietor: Yes
License: 27985 (CA)

Specialties & taxonomies

Clinical Social WorkerPrimary1041C0700XLicense 27985 (CA)
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(80/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
14 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

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

4258 Hawk St

San Diego, CA 92103-1357

Phone: (619) 727-7167

Street-level locationGet directions

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Mailing address