MISS JACQUELINE NICHOLE STRUCK
NPI 1033698956
Social Worker - Clinical in San Diego, CA

Q: What is Jacqueline Struck's NPI number?

The NPI number for Jacqueline Struck is 1033698956. It was assigned to this individual provider in the NPPES registry on August 10, 2018.

Q: What is Jacqueline Struck's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Struck was last updated on June 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 10, 2018PECOS Enrolled

10717 CAMINO RUIZ STE 207, SAN DIEGO, CA 92126(858) 695-2211(858) 695-3521 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 10, 2024, Aug 7, 2020, Aug 10, 2018 (3 updates tracked since 2018).

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About Miss Jacqueline Nichole Struck NPPES

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

MISS JACQUELINE NICHOLE STRUCK (NPI 1033698956) is an individual clinical provider in San Diego, California, licensed in California (117818) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Escondido.

NPPES Registry Identity

NPI1033698956

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMISS JACQUELINE NICHOLE STRUCK

Location Address10717 CAMINO RUIZ STE 207San Diego, CA 92126-2364

Mailing Address10717 Camino Ruiz Ste 207San Diego, CA 92126-2364 · (858) 695-2211

Phone(858) 695-2211

Fax(858) 695-3521

Sole ProprietorNo

Enumeration DateAugust 10, 2018

Last NPPES UpdateJune 10, 20243 updates tracked since enumeration

NPPES CertifiedJune 10, 2024

✔ NPI 1033698956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CA · 117818

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

10717 CAMINO RUIZ STE 207, San Diego, CA 92126

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Secondary Practice Location 1

Location 1490 N Grape StEscondido, CA 92025-3079 · Phone (760) 975-9939

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Jacqueline Nichole Struck 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92126 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 $62.10 – $184.71

Typical copayment $0.00 (range $15.52 – $46.17)

Most-billed visit code NA

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

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.

EMMA MIKAYLA PENEV

Case Manager/Care Coordinator