Individual provider Active NPI

Ann Caroline Jansson

  • Clinical Social Worker
  • Concord, CA
National Provider Identifier
1083391056
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
136328 Issued in CA
Practice address
1848 Willow Pass Rd Ste 207
Concord, CA 94520-2542
Phone
(310) 810-5708
NPI assigned
Jun 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 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 136328 CA Primary

Addresses

Primary practice location

1848 Willow Pass Rd Ste 207
Concord, CA 94520-2542

Mailing address

1848 Willow Pass Rd Ste 207
Concord, CA 94520-2542
Phone (310) 810-5708

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
I20260415002362 CA Practitioner - Clinical Social Worker 6800362179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14583 Big Basin Way
Suite 2B
Saratoga, CA 95070-6072

3796 Culpepper Dr
Sparks, NV 89436-2520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
136328CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Valley Child and Family Services, Inc. PastSince Jul 2, 2023 Accepting new patients

Organizations & group practices 2

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": "1688083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1083391056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1848 WILLOW PASS RD STE 207",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202542",
            "telephone_number": "310-810-5708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1848 WILLOW PASS RD STE 207",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202542",
            "telephone_number": "310-810-5708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSSON",
        "first_name": "ANN CAROLINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-30",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "136328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

Verify at the official NPI Registry.