DR. JENNIFER MICHELLE BLUM (LCSW) – Clinical Social Worker, NPI 1063901775
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,987 CLINICAL SOCIAL WORKER in CA
Provider Addresses for DR. JENNIFER MICHELLE BLUM (LCSW)
300 RANCHEROS DR STE 130
SAN MARCOS, CA 920692968
Phone: (858) 279-1223
Type: Location
1941 Bishop Ln Ste 1019
Louisville, KY 402181928
Phone: (502) 851-6384
Type: Location
5201 Great America Pkwy Ste 320
Santa Clara, CA 950541140
Phone: (323) 205-7088
Type: Location
2271 Alpine Blvd Ste A
Alpine, CA 919011101
Phone: (888) 688-0248
Fax: (888) 291-4799
Type: Location
600 VAWTER LN
SHELBYVILLE, KY 400657363
Phone: (502) 821-8326
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-12-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191015001819 | I | Clinical Social Worker | KY | TBD |
| I20241217000914 | I | Clinical Social Worker | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92069)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Marriage And Family Therapist | CA | |
| Clinical Social Worker | NV | |
| Mental Health Counselor | CA | |
| Clinical Social Worker | MS | |
| - | CA | |
| Clinical Psychologist | CT | |
| Clinical Social Worker | CA | |
| Clinical Social Worker | CA | |
| Clinical Social Worker | CA | |
| Mental Health Counselor | CA |
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