Individual provider Active NPI

Troy Pafenberg

  • Clinical Social Worker
  • San Jose, CA
National Provider Identifier
1336687797
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW71192 Issued in CA
Practice address
4990 Speak LN Ste 100
San Jose, CA 95118-2776
Phone
(408) 826-9650
Fax
(408) 267-9649
NPI assigned
Feb 6, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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 LCSW71192 CA 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) 826-9650

Other names 1

  • Mr. Troy E Pafenberg Professional name

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
I20170418002400 CA Practitioner - Clinical Social Worker 5597041012 Reassigns benefits to 1 organization
Practice locations: San Jose, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW71192CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
San Jose Therapy, a Licensed Clinical Social Worker Corporation Clinical CurrentSince Nov 7, 2025 Accepting new patients

Locations

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

Organizations & group practices 1

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": "1486339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1336687797",
    "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": "408-826-9650",
            "fax_number": "408-267-9649"
        },
        {
            "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": "408-826-9650",
            "fax_number": "408-267-9649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAFENBERG",
        "first_name": "TROY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-06",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW71192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TROY",
            "last_name": "PAFENBERG",
            "middle_name": "E",
            "prefix": "MR.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.