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
- 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
- Code Navigator
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) |
|---|---|---|---|---|
| 1 | 104100000X | Behavioral Health & Social Service Providers | Social Worker |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 6 | 4 | 9 | 0 | 8 | 5 | 5 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 12 | 4 | 18 | 0 | 16 | 5 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 2 + 4 + 1 + 8 + 0 + 1 + 6 + 5 + 1 + 0 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1164908554 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 17 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1154675742 | AGATHOS LABORATORIES, INC. Organization | Clinical Medical Laboratory | 5201 GREAT AMERICA PKWY SUITE 320 SANTA CLARA, CA 95054 (408) 730-6819 |
| 1376190272 | ABIGAIL MORSE Individual | Social Worker (Clinical) | 5201 GREAT AMERICA PKWY SANTA CLARA, CA 95054 (323) 968-6182 |
| 1518495258 | OLIVIA HOLLY LAVELLE MSW, PPSC Individual | Social Worker (Clinical) | 5201 GREAT AMERICA PKWY SANTA CLARA, CA 95054 (323) 205-7088 |
| 1497302129 | JENNIFER KALUSA LMFT Individual | Marriage & Family Therapist | 5201 GREAT AMERICA PKWY SANTA CLARA, CA 95054 (323) 205-7088 |
| 1376943001 | NATALIE LARIOS MARTINEZ Individual | Marriage & Family Therapist | 5201 GREAT AMERICA PKWY SANTA CLARA, CA 95054 (562) 287-4706 |
| 1679041578 | MR. JAMES LINCOLN CLARKE JR. LMFT Individual | Marriage & Family Therapist | 5201 GREAT AMERICA PKWY STE 320 PMB236 SANTA CLARA, CA 95054 (323) 407-8084 |
| 1780213793 | ALLEGRA SPALDING Individual | Counselor (Mental Health) | 5201 GREAT AMERICA PKWY SANTA CLARA, CA 95054 (323) 205-7088 |
| 1275014763 | CHRISTIAN PORTO ASW Individual | Social Worker (Clinical) | 5201 GREAT AMERICA PKWY SANTA CLARA, CA 95054 (323) 205-7088 |
| 1285210039 | SARAH SCHORR Individual | Marriage & Family Therapist | 5201 GREAT AMERICA PKWY SANTA CLARA, CA 95054 (323) 205-7088 |
| 1346436540 | BEATRIZ GONZALEZ LCSW Individual | Social Worker (Clinical) | 5201 GREAT AMERICA PKWY SANTA CLARA, CA 95054 (213) 259-3157 |
| 1811258387 | MS. TIFFANY ANN STAFFORD LMFT Individual | Marriage & Family Therapist | 5201 GREAT AMERICA PKWY SANTA CLARA, CA 95054 (323) 205-7088 |
| 1891218459 | MS. ANGELA SCOTT LCSW Individual | Counselor (Professional) | 5201 GREAT AMERICA PKWY SANTA CLARA, CA 95054 (323) 205-7088 |
| 1902372022 | MISS MAN NGA POON Individual | Marriage & Family Therapist | 5201 GREAT AMERICA PKWY SANTA CLARA, CA 95054 (323) 205-7088 |
| 1811514011 | ASIA LA PHAM Individual | Marriage & Family Therapist | 5201 GREAT AMERICA PKWY SANTA CLARA, CA 95054 (323) 745-8323 |
| 1609393073 | GABRIELA-ESTELLA PEREZ FIGUEROA Individual | Social Worker (Clinical) | 5201 GREAT AMERICA PKWY SANTA CLARA, CA 95054 (323) 205-7088 |
| 1689341711 | BAILEY LECHNER-LUKE Individual | Marriage & Family Therapist | 5201 GREAT AMERICA PKWY SANTA CLARA, CA 95054 (323) 205-7088 |
| 1811282999 | KRISTIN BEECH Individual | Social Worker (Clinical) | 5201 GREAT AMERICA PKWY SANTA CLARA, CA 95054 (323) 205-7088 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164908554, enumerated in the NPI registry 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
The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical
This NPI record was last updated on July 18, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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