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MR. JEREMY B. FINK LCSW
NPI 1508998584
Social Worker - Clinical in Agoura Hills, CA

Active since March 12, 2007Opted out of Medicare · through May 10, 2027
28310 ROADSIDE DR STE 140, AGOURA HILLS, CA 91301(818) 575-6065 Get Directions Write a Review

NPPES record last updated: September 23, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Jeremy B. Fink Lcsw NPPES

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

MR. JEREMY B. FINK LCSW (NPI 1508998584) is an individual clinical provider in Agoura Hills, California and active in the NPI registry since March 2007. He has opted out of Medicare through May 10, 2027.

NPPES Registry Identity

NPI1508998584
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JEREMY B. FINKCredential: LCSW
Location Address28310 ROADSIDE DR STE 140Agoura Hills, CA 91301-4950
Mailing Address28310 Roadside Dr Ste 140Agoura Hills, CA 91301-4950 · (818) 575-6065
Phone(818) 575-6065
Sole ProprietorYes
Enumeration DateMarch 12, 2007
Last NPPES UpdateSeptember 23, 2010
✔ NPI 1508998584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
28310 ROADSIDE DR STE 140, Agoura Hills, CA 91301
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Jeremy B. Fink Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 10, 2025 through May 10, 2027.

Opt-Out Effective DateMay 10, 2025
Opt-Out In Effect ThroughMay 10, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

DR. ALISON JAMIE LEE PH.D.
Psychologist (Clinical)
28310 ROADSIDE DR STE 140
AGOURA HILLS, CA 91301
Los Angeles County (310) 721-9717

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 Fink's NPI number?

The NPI number for Jeremy Fink is 1508998584. It was assigned to this individual provider in the NPPES registry on March 12, 2007.

Where is Jeremy Fink located?

Jeremy Fink practices at 28310 Roadside Dr Ste 140, Agoura Hills, CA 91301. The listed phone number is (818) 575-6065.

What is Jeremy Fink's specialty?

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

Is Jeremy Fink enrolled in Medicare?

No. Jeremy Fink has opted out of Medicare through May 10, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jeremy Fink was last updated on September 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.