Individual provider Active NPI

Ilyana Jacobson, LCSW

  • Clinical Social Worker
  • Santa Ana, CA
National Provider Identifier
1184717894
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
24487 Issued in CA
Practice address
600 W Santa Ana Blvd Ste 600
Santa Ana, CA 92701-4552
Phone
(714) 953-4455
Fax
(915) 772-5133
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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 24487 CA Primary

Addresses

Primary practice location

600 W Santa Ana Blvd Ste 600
Santa Ana, CA 92701-4552

Mailing address

600 W Santa Ana Blvd Ste 600
Santa Ana, CA 92701-4552
Phone (714) 953-4455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
24487CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Child Guidance Center, Inc. CurrentSince Aug 25, 2024 Accepting new patients
Ruben Moreno, LCSW, PC PastSince Aug 7, 2016 Accepting new patients

Locations

600 W Santa Ana Blvd
Ste 600
Santa Ana, CA 92701
Phone (714) 871-9264

525 Cabrillo Park Dr
Ste 300
Santa Ana, CA 92701
Phone (714) 871-9264

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1184717894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W SANTA ANA BLVD STE 600",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014552",
            "telephone_number": "714-953-4455",
            "fax_number": "714-542-2793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W SANTA ANA BLVD STE 600",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014552",
            "telephone_number": "714-953-4455",
            "fax_number": "915-772-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "ILYANA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "24487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.