Active NPI
Audrey Grace Pesek, ASW
- Social Worker
- San Jose, CA
National Provider Identifier
1396635900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ASW131305
- Practice address
- 485 N 1St St
San Jose, CA 95112-4067 - Phone
- (510) 317-1444
- NPI assigned
- Jul 7, 2025
- Last updated
- Oct 28, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | ASW131305 | CA | Primary |
Addresses
Primary practice location
485 N 1St St
San Jose, CA 95112-4067
Mailing address
1312 Cerro Verde
San Jose, CA 95120-4905
Phone (408) 797-6184
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
| License | State | Type | Specialty |
|---|---|---|---|
| ASW131305 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761609600000",
"number": "1396635900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1312 CERRO VERDE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951204905",
"telephone_number": "408-797-6184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "485 N 1ST ST",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951124067",
"telephone_number": "510-317-1444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PESEK",
"first_name": "AUDREY",
"middle_name": "GRACE",
"name_prefix": "Mrs.",
"credential": "ASW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-07",
"last_updated": "2025-10-28",
"certification_date": "2025-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW131305",
"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 28, 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.