Jennie Miranda Buss-Gregory, LCSW
Social Worker, Clinical in Encinitas, CA. Individual provider (NPI-1).
NPI number1811529019
StatusActive
Last updated in NPPESApr 17, 2025
Details
- NPI
- 1811529019
- Entity type
- Individual (NPI-1)
- Name
- Jennie Miranda Buss-Gregory
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 6, 2020
- Certification date
- Apr 17, 2025
- Last updated
- Apr 17, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 94921 | CA | Yes |
Practice location
351 Santa Fe Dr Ste 200Encinitas, CA 92024-5137
Phone 858-279-1223
Mailing address
351 Santa Fe Dr Ste 200Encinitas, CA 92024-5137
Phone 858-279-1223
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 68 Clinical Social Worker providers in Encinitas · All 2,508 providers in Encinitas
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