Active NPI
Jessica Marie Ignacio, LCSW, PPSC
- Clinical Social Worker
- Capitola, CA
National Provider Identifier
1346994126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 136569
- Practice address
- PO Box 662
Capitola, CA 95010-0662 - Phone
- (408) 646-2330
- NPI assigned
- Feb 9, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 136569 | CA | Primary |
Addresses
Primary practice location
PO Box 662
Capitola, CA 95010-0662
Mailing address
PO Box 662
Capitola, CA 95010-0662
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776902400000",
"number": "1346994126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 662",
"city": "CAPITOLA",
"state": "CA",
"postal_code": "950100662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 662",
"city": "CAPITOLA",
"state": "CA",
"postal_code": "950100662",
"telephone_number": "408-646-2330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IGNACIO",
"first_name": "JESSICA",
"middle_name": "MARIE",
"credential": "LCSW, PPSC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-09",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "136569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Capitola, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.