Jessica Noelle Panoski, ASW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

117317 Issued in CA

Practice address

1403 Los Gamos
San Rafael, CA 95403

Phone

(415) 328-1142

NPI assigned

Aug 3, 2016

Last updated

Jul 21, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1588117808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 CHALLENGER WAY STE 107",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954075423",
            "telephone_number": "707-565-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 LOS GAMOS",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "95403",
            "telephone_number": "415-328-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANOSKI",
        "first_name": "JESSICA",
        "middle_name": "NOELLE",
        "credential": "ASW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-03",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "117317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles C. Palmigiano, M.D.
• Jason Bustos Palomo
• Edelyn Panaligan
• Palak Pandit, PA-C
• Jonathan Pannor
• Judith Adriana Panuco, PPS
• Jacob Panquale Panzarella, PH.D.
• Caryn Papiro, PT
• Sasha A Papovich
• Marina Sophia Pappas

• Clinical Social Worker in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.