Jessica Mary Fanene · Clinical Social Worker

4187 Flat Rock Dr Ste 350, Riverside, CA 92505-7124

Overview

Jessica Mary Fanene is a Clinical Social Worker practicing in Riverside, California. The National Provider Identifier (NPI) is #1417815473, which was assigned on January 9, 2026, and the registration record was last updated on January 9, 2026. The practitioner's main practice location is at 4187 Flat Rock Dr Ste 350, Riverside, CA 92505-7124; the contact telephone number is 9514765642. The primary taxonomy of Jessica Mary Fanene is Clinical Social Worker (1041C0700X), with specialization in Clinical. Jessica Mary Fanene is licensed to practice in the state of California (#134186).

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.

Provider Information

NPI 1417815473
Entity Type Individual
Provider Name MRS. JESSICA MARY FANENE
Gender Female
Credential ACSW
Practice Address 4187 Flat Rock Dr Ste 350
Riverside
CA 92505-7124
Practice Telephone 9514765642
Mailing Address 45225 Palmira Cir
Temecula
CA 92592-1336
Mailing Telephone 9515510382
Certification Date 2026-01-09
Enumeration Date 2026-01-09
Last Update Date 2026-01-09
Is Sole Proprietor N

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y1041C0700XSocial WorkerClinical134186CA

Taxonomy Information

Primary Taxonomy

Code 1041C0700X
Taxonomy Clinical Social Worker
Classification Social Worker
Specialization Clinical
Grouping Behavioral Health & Social Service Providers
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.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Higher Purpose Counseling and Consulting, PLLC 1183 University Dr, Burlington, NC 27215-8303Clinical Social Worker2026-02-06
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Deborah Naroff Scott 263 Oakland Ct, Ramsey, NJ 07446-1176Clinical Social Worker2026-02-07
Tandika Taylor 5135 Camino Al Norte Ste 230, North Las Vegas, NV 89031-2391Clinical Social Worker2026-02-06
Kevin Ly 410 Church St Se, Minneapolis, MN 55455-0222Clinical Social Worker2026-02-06
Shani Ben-Dov 103 Deepwood Rd, Stamford, CT 06903-3921Clinical Social Worker2026-02-07
Daisy Ramos 3708 91st St, Jackson Heights, NY 11372-7961Clinical Social Worker2026-02-07
Brittani Burton 3111 Windshire Ln Apt 309, Charlotte, NC 28273-4175Clinical Social Worker2026-02-07
Constance Murphy 1797 Strathmore Cir, Mount Dora, FL 32757-8809Clinical Social Worker2026-02-07
Sarah Malala Stone 3713 Huntley Meadows Ln, Alexandria, VA 22306-1468Clinical Social Worker2026-02-06
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Location Information

Street Address 4187 FLAT ROCK DR STE 350
City RIVERSIDE
State CA
Zip Code 92505-7124
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Paul David Baum 4187 Flat Rock Dr Ste 350, Riverside, CA 92505-7124Clinical Social Worker2014-11-06

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Lerma Maloma Dacasin 3660 Park Sierra Dr Ste 208, Riverside, CA 92505Registered Nurse2024-08-12
The Nurtured Path LLC 5642 Darien Ct, Riverside, CA 92505-2315Doula2025-08-06
Haven Care Solutions Inland Empire 10518 Magnolia Ave, Riverside, CA 92505-1814Meals Provider2025-08-15
Kristynne L. Rodriguez 5642 Darien Ct, Riverside, CA 92505-2315Doula2012-10-01
Haven Care Solutions 10518 Magnolia Ave, Riverside, CA 92505-1814Supports Brokerage Agency2025-06-12
Teresa Galvan 11870 Pierce Street, Suite 150, Riverside, CA 92505Case Manager/Care Coordinator2008-05-07
Arise Pharmaceutical Corp 10364 Arlington Ave, Riverside, CA 92505-1102Compounding Pharmacy2025-11-19
Honor Pain Clinic PC 10694 Magnolia Ave, Riverside, CA 92505-1816Pain Medicine (Anesthesiology) Physician2025-06-24
Taylor Diana Price 3845 Polk St Apt 69, Riverside, CA 92505-1776Behavior Technician2025-11-04
Cope Healthcare Consulting, Inc 11801 Pierce St, Suite 242, Riverside, CA 92505Case Manager/Care Coordinator2025-05-22
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.