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MR. JEREMY LIGHTELL LCSW
NPI 1013154970
Social Worker - Clinical in Hayward, CA

Active since January 14, 2009PECOS Enrolled
409 JACKSON ST, HAYWARD, CA 94544(510) 891-5600 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 6, 2022, Jan 27, 2020 (2 updates tracked since 2020).

About Mr. Jeremy Lightell Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JEREMY LIGHTELL LCSW (NPI 1013154970) is an individual clinical provider in Hayward, California, licensed in California (LCSW93817) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013154970
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JEREMY LIGHTELLCredential: LCSW
Location Address409 JACKSON STHayward, CA 94544-1530
Mailing Address409 Jackson StHayward, CA 94544-1530 · (510) 891-5600
Phone(510) 891-5600
Sole ProprietorYes
Enumeration DateJanuary 14, 2009
Last NPPES UpdateApril 6, 20222 updates tracked since enumeration
NPPES CertifiedApril 6, 2022
✔ NPI 1013154970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · LCSW93817
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
409 JACKSON ST, Hayward, CA 94544
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jeremy Lightell Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jeremy Lightell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Alameda County
Same address
Community/Behavioral Health
409 JACKSON ST
Hayward, CA 94544
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: County Of Alameda
  • 50 clinicians in this Medicare group
NPI 1669504288 (800) 878-1313

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94544 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $69.00 – $202.35
Typical copayment $0.00 (range $17.25 – $50.58)
Most-billed visit code NA
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARTA ELENA REYNOSO LCSW
Social Worker (Clinical)
409 JACKSON ST, SUITE 200
HAYWARD, CA 94544
Alameda County (510) 891-5650
SYDNEY MARIE HOLLINGSWORTH
Marriage & Family Therapist
409 JACKSON ST
HAYWARD, CA 94544
Alameda County (510) 891-5600
ELIZABETH PAREDES GALLEGOS
Social Worker
409 JACKSON ST
HAYWARD, CA 94544
Alameda County (510) 891-5600
VERONICA RAMOS
Social Worker
409 JACKSON ST
HAYWARD, CA 94544
Alameda County (510) 891-5600
JOSUE MONTERROSO
Student in an Organized Health Care Education/Training Program
409 JACKSON ST
HAYWARD, CA 94544
Alameda County (510) 891-5642
ANDREW SPIVACK MSW/ASW
Social Worker (Clinical)
409 JACKSON ST
HAYWARD, CA 94544
Alameda County (510) 891-5600
ARRASH LEE ABRI
Social Worker
409 JACKSON ST
HAYWARD, CA 94544
Alameda County (510) 891-5600
NATASHA GENA MCKINLEY
Case Manager/Care Coordinator
409 JACKSON ST
HAYWARD, CA 94544
Alameda County (510) 891-5600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Lightell's NPI number?

The NPI number for Jeremy Lightell is 1013154970. It was assigned to this individual provider in the NPPES registry on January 14, 2009.

Where is Jeremy Lightell located?

Jeremy Lightell practices at 409 Jackson St, Hayward, CA 94544. The listed phone number is (510) 891-5600.

What is Jeremy Lightell's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jeremy Lightell enrolled in Medicare?

Yes. Jeremy Lightell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeremy Lightell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Lightell reassigns Medicare benefits to Alameda County (Hayward, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeremy Lightell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeremy Lightell was last updated on April 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.