IndividualActive
Jennifer Prudencio
NPI 1417540675 · Clinical Social Worker · Anaheim, CA
Jennifer Prudencio is a Clinical Social Worker provider in Anaheim, CA (NPI 1417540675).
Provider details
- NPI number
- 1417540675
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 126607 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
356 S Claudina St
Anaheim, CA 92805-3915
Phone: (714) 855-9811
Street-level locationGet directions
Mailing address
356 S Claudina St
Anaheim, CA 92805-3915
Registry dates
- Enumerated
- 2021-02-18
- Last updated
- 2025-09-24
- Certified
- 2025-09-24
Frequently asked questions
- What is Jennifer Prudencio's NPI number?
- Jennifer Prudencio's National Provider Identifier (NPI) is 1417540675, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennifer Prudencio's specialty?
- Jennifer Prudencio is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jennifer Prudencio located?
- Jennifer Prudencio's practice location on file with NPPES is 356 S Claudina St, Anaheim, CA 92805-3915.
- What is Jennifer Prudencio's phone number?
- The practice phone number listed in the NPPES registry for Jennifer Prudencio is (714) 855-9811.
- Is Jennifer Prudencio's NPI active?
- Yes — Jennifer Prudencio's NPI (1417540675) is active in the NPPES registry as of the last update on 2025-09-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.