JACQUELINE DAPHNEE SURPIN
NPI 1164908554
Social Worker - Clinical in Santa Clara, CA

NPI Status: Active since July 18, 2018

Contact Information

5201 GREAT AMERICA PKWY
SANTA CLARA, CA
ZIP 95054
Phone: (323) 205-7088

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  • Individual
  • Female
  • Social Worker
  • Clinical

About JACQUELINE SURPIN

This page provides the complete NPI Profile along with additional information for Jacqueline Surpin, a provider established in Santa Clara, California with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1164908554 assigned on July 2018. The practitioner's primary taxonomy code is 1041C0700X with license number 126551 (CA). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1164908554
Provider Name
JACQUELINE DAPHNEE SURPIN
Gender
Female
Entity Type
Individual
Location Address
5201 GREAT AMERICA PKWY SANTA CLARA, CA 95054
Location Phone
(323) 205-7088
Mailing Address
730 MEDICAL CENTER CT CHULA VISTA, CA 91911
Mailing Phone
(619) 863-5866
Is Sole Proprietor?
No
Enumeration Date
07-18-2018
Last Update Date
01-29-2025
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A clinical social worker like Jacqueline Surpin is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
126551
License State
CA
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1104100000XBehavioral Health & Social Service Providers

Social Worker

 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1164908554, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
0
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
5
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 9 → 18 → 9 8 → 16 → 7 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 2 + 4 + 1 + 8 + 0 + 1 + 6 + 5 + 1 + 0 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1164908554.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Clinical Medical Laboratory
5201 GREAT AMERICA PKWY, SUITE 320
SANTA CLARA, CA 95054
Social Worker (Clinical)
5201 GREAT AMERICA PKWY
SANTA CLARA, CA 95054
Social Worker (Clinical)
5201 GREAT AMERICA PKWY
SANTA CLARA, CA 95054
Marriage & Family Therapist
5201 GREAT AMERICA PKWY
SANTA CLARA, CA 95054
Marriage & Family Therapist
5201 GREAT AMERICA PKWY
SANTA CLARA, CA 95054
Marriage & Family Therapist
5201 GREAT AMERICA PKWY, STE 320 PMB236
SANTA CLARA, CA 95054
Counselor (Mental Health)
5201 GREAT AMERICA PKWY
SANTA CLARA, CA 95054
Social Worker (Clinical)
5201 GREAT AMERICA PKWY
SANTA CLARA, CA 95054
Marriage & Family Therapist
5201 GREAT AMERICA PKWY
SANTA CLARA, CA 95054
Social Worker (Clinical)
5201 GREAT AMERICA PKWY
SANTA CLARA, CA 95054
Marriage & Family Therapist
5201 GREAT AMERICA PKWY
SANTA CLARA, CA 95054
Counselor (Professional)
5201 GREAT AMERICA PKWY
SANTA CLARA, CA 95054
Marriage & Family Therapist
5201 GREAT AMERICA PKWY
SANTA CLARA, CA 95054
Marriage & Family Therapist
5201 GREAT AMERICA PKWY
SANTA CLARA, CA 95054
Social Worker (Clinical)
5201 GREAT AMERICA PKWY
SANTA CLARA, CA 95054
Marriage & Family Therapist
5201 GREAT AMERICA PKWY
SANTA CLARA, CA 95054
Social Worker (Clinical)
5201 GREAT AMERICA PKWY
SANTA CLARA, CA 95054
Counselor (Professional)
5201 GREAT AMERICA PKWY
SANTA CLARA, CA 95054
Social Worker (Clinical)
5201 GREAT AMERICA PKWY
SANTA CLARA, CA 95054
Marriage & Family Therapist
5201 GREAT AMERICA PKWY, STE 320 PMB236
SANTA CLARA, CA 95054

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164908554, enumerated as an "individual" on July 18, 2018.

The provider is located at 5201 GREAT AMERICA PKWY SANTA CLARA, CA 95054 and the phone number is (323) 205-7088.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.