JENNIFER MAHARRY
Complete NPI Record 1346522331
Social Worker in Santa Maria, CA
Active since September 15, 2011PECOS EnrolledAccepts Medicare Assignment
Complete NPI Dataset
This page contains the complete raw NPPES record for Jennifer Maharry (NPI 1346522331), an individual social worker provider in Santa Maria, CA. All 28 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, Markdown or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1346522331 Field 1/28
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 1 Field 2/28
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Provider Last Name Legal Name: MAHARRY Field 3/28
- The last name of the provider. If the provider is an individual, this is the legal name.
- Provider First Name: JENNIFER Field 4/28
- The first name of the provider, if the provider is an individual.
- Provider Other Last Name: BRESKA Field 5/28
- Other last name by which the provider being identified is or has been known.
- Provider Other First Name: JENNIFER Field 6/28
- Other first name by which the provider being identified is or has been known (if an individual). This may be the same as the "Provider first name" if the provider is or has been known by a different last name only.
- Provider Other Last Name Type Code: 1 Field 7/28
- Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
- Provider First Line Business Mailing Address: 220 S PALISADE DR STE 203 Field 8/28
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: SANTA MARIA Field 9/28
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: CA Field 10/28
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 934548903 Field 11/28
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 12/28
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 8053547101 Field 13/28
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider Business Mailing Address Fax Number: 8053547102 Field 14/28
- The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
- Provider First Line Business Practice Location Address: 220 S PALISADE DR STE 203 Field 15/28
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: SANTA MARIA Field 16/28
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: CA Field 17/28
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 934548903 Field 18/28
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 19/28
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 8053547101 Field 20/28
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 8053547102 Field 21/28
- The fax number associated with the location address of the provider being identified.
- Provider Gender Code: F Field 24/28
- The code designating the provider's gender if the provider is a person.
- Healthcare Provider Taxonomy Code 1: 104100000X Field 25/28
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 26/28
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Sole Proprietor: N Field 27/28
- Indicates whether the provider is registered as a sole proprietor. This is a single-character code: "Y" means the provider operates as a sole proprietor, and "N" means they do not.
Secondary Practice Locations 25
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
116 S Palisade Dr Ste 103
Location 1/25Santa Maria, CA 93454-8904 · Phone (805) 739-3280 · Fax (805) 739-3380
235 S Palisade Dr
Location 2/25Santa Maria, CA 93454 · Phone (805) 739-3561
1941 Johnson Ave Ste 101
Location 3/25San Luis Obispo, CA 93401-4154 · Phone (805) 782-8844 · Fax (805) 549-6985
1941 Johnson Ave Ste 301
Location 4/25San Luis Obispo, CA 93401-4175 · Phone (805) 786-4111 · Fax (805) 543-6357
1941 Johnson Ave Ste 102
Location 5/25San Luis Obispo, CA 93401-4174 · Phone (805) 782-8844 · Fax (805) 549-6986
2 James Way Ste 106
Location 6/25Pismo Beach, CA 93449-4974 · Phone (805) 473-7665 · Fax (805) 473-7666
5075 S Bradley Rd Ste 131
Location 7/25Santa Maria, CA 93455-5077 · Phone (805) 332-8155 · Fax (805) 332-8156
5920 West Mall
Location 8/25Atascadero, CA 93422-4232 · Phone (805) 466-0676 · Fax (805) 466-4862
4460 Broad St Ste 110
Location 9/25San Luis Obispo, CA 93401-8065 · Phone (805) 597-6715 · Fax (805) 541-4973
895 Aerovista Pl Ste 103
Location 10/25San Luis Obispo, CA 93401-8725 · Phone (805) 541-3200 · Fax (805) 541-3700
210 S Palisade Dr Ste 101
Location 11/25Santa Maria, CA 93454-5932 · Phone (805) 922-0481 · Fax (805) 925-5261
1250 Peach St Ste B
Location 12/25San Luis Obispo, CA 93401-2869 · Phone (805) 543-4043 · Fax (805) 543-7640
2238 Bayview Heights Dr Ste G
Location 13/25Los Osos, CA 93402-3930 · Phone (805) 534-1305 · Fax (805) 534-1346
217 W Central Ave Ste G
Location 14/25Lompoc, CA 93436-2830 · Phone (805) 735-4292 · Fax (805) 735-4293
697 W Tefft St
Location 15/25Nipomo, CA 93444-9190 · Phone (805) 929-2272 · Fax (805) 929-1454
2271 S Depot St
Location 16/25Santa Maria, CA 93455-1216 · Phone (805) 349-8514 · Fax (805) 349-8958
685 Morro Ave Ste C
Location 17/25Morro Bay, CA 93442-2233 · Phone (805) 772-7313 · Fax (805) 346-3625
265 Posada Ln Ste B
Location 18/25Templeton, CA 93465-4056 · Phone (805) 434-0900 · Fax (805) 434-9260
2 James Way Ste 209
Location 19/25Pismo Beach, CA 93449-4976 · Phone (805) 549-6915 · Fax (805) 549-6916
1560 Mesa Rd Ste 100
Location 20/25Nipomo, CA 93444-6709 · Phone (805) 614-5640 · Fax (805) 614-5641
1250 Peach St Ste A
Location 21/25San Luis Obispo, CA 93401-2871 · Phone (805) 543-4043 · Fax (805) 543-7640
1745 N Broadway Ste 101
Location 22/25Santa Maria, CA 93454-1940 · Phone (805) 739-3890 · Fax (805) 347-7697
877 Oak Park Blvd
Location 23/25Pismo Beach, CA 93449-3292 · Phone (805) 474-8450 · Fax (805) 474-8454
901 Oak Park Blvd Ste 101
Location 24/25Pismo Beach, CA 93449-3409 · Phone (805) 481-2205 · Fax (805) 481-2206
1102 E Clark Ave Ste 120A
Location 25/25Santa Maria, CA 93455-5175 · Phone (805) 332-8185 · Fax (805) 332-8186
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