Individual provider Active NPI

Jennifer Lynn Sredniawa, LCSW

  • Clinical Social Worker
  • Santa Cruz, CA
National Provider Identifier
1033680392
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
83130 Issued in CA
Practice address
1080 Emeline Ave
Santa Cruz, CA 95060-1966
Phone
(831) 454-4100
NPI assigned
Dec 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 83130 CA Primary

Addresses

Primary practice location

1080 Emeline Ave
Santa Cruz, CA 95060-1966

Mailing address

1080 Emeline Ave
Santa Cruz, CA 95060-1966
Phone (831) 454-4100

Other practice location 1

1430 Freedom Blvd
Watsonville, CA 95076-2780
Phone (831) 763-8400

Other practice location 2

555 Soquel Ave Ste 260
Santa Cruz, CA 95062-2340
Phone (415) 699-2574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190626003319 CA Practitioner - Clinical Social Worker 1557695459 Reassigns benefits to 2 organizations
Practice locations: Santa Cruz, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of Santa CruzGroup PAC ID 7618872912, shared by 4 NPIs, 65 clinicians

Practice addresses (Care Compare)

1080 Emeline Ave
Santa Cruz, CA 95060-1966
Phone (831) 454-5401

115 A Coral St
Santa Cruz, CA 95060-2131
Phone (831) 454-2080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
83130CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Cruz CurrentSince Nov 5, 2020 Accepting new patients
Puentes Al Sur Past Accepting new patients

Locations

1400 Emeline Ave
Santa Cruz, CA 95060
Phone (831) 454-4900

115A Coral St
Santa Cruz, CA 95060
Phone (831) 454-2080

1080 Emeline Ave
Santa Cruz, CA 95060
Phone (831) 454-4100

1400 Emeline Ave
#K
Santa Cruz, CA 95060
Phone (831) 454-4971

1400 Emeline Ave
Bldg K
Santa Cruz, CA 95060
Phone (831) 454-4900

1430 Freedom Blvd
Watsonville, CA 95076
Phone (831) 763-8200

1430 Freedom Blvd
Ste D
Watsonville, CA 95076
Phone (831) 763-8400

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1033680392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 EMELINE AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950601966",
            "telephone_number": "831-454-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 EMELINE AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950601966",
            "telephone_number": "831-454-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1430 Freedom Blvd",
            "address_purpose": "LOCATION",
            "city": "Watsonville",
            "state": "CA",
            "postal_code": "950762780",
            "country_code": "US",
            "telephone_number": "831-763-8400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 Soquel Ave Ste 260",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950622340",
            "country_code": "US",
            "telephone_number": "415-699-2574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SREDNIAWA",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "83130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.