Organization Active NPI

San Jose Therapy, a Licensed Clinical Social Worker Corporation

  • Clinical Social Worker
  • San Jose, CA
National Provider Identifier
1316815038
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SAN JOSE THERAPY, A LICENSED CLINICAL SOCIAL WORKER CORPORATION
Practice address
4990 Speak LN Ste 100
San Jose, CA 95118-2776
Phone
(408) 418-5560
Fax
(669) 235-4442
NPI assigned
Oct 24, 2025
Last updated
Oct 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Authorized official

Name
Mr. Troy Pafenberg, LCSWNPI 1336687797
Title
Owner/President
Phone
(408) 418-5560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

4990 Speak LN Ste 100
San Jose, CA 95118-2776

Mailing address

4990 Speak LN Ste 100
San Jose, CA 95118-2776
Phone (408) 418-5560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260417002008 CA Part B Supplier - Clinic/Group Practice 1658847546 Receives reassigned benefits from 1 practitioner
Practice locations: San Jose, CA

National Provider Directory

National Provider Directory

Locations

4990 Speak Ln
Ste 100
San Jose, CA 95118
Phone (408) 266-7826

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1761264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1316815038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4990 SPEAK LN STE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951182776",
            "telephone_number": "408-418-5560",
            "fax_number": "669-235-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4990 SPEAK LN STE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951182776",
            "telephone_number": "408-418-5560",
            "fax_number": "669-235-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JOSE THERAPY, A LICENSED CLINICAL SOCIAL WORKER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-24",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "PAFENBERG",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "408-418-5560",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.