Individual provider Active NPI

Jennifer Lynn O'Leary, LCSW/LICSW

  • Clinical Social Worker
  • San Jose, CA
National Provider Identifier
1669982831
Registry record updated Nov 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
119262 Issued in CA
Practice address
7190 Via Lomas
San Jose, CA 95139-1139
Phone
(952) 201-9209
NPI assigned
Oct 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Clinical Social Worker 1041C0700X 21062 MN
Clinical Social Worker 1041C0700X 119262 CA Primary

Addresses

Primary practice location

7190 Via Lomas
San Jose, CA 95139-1139

Mailing address

7190 Via Lomas
San Jose, CA 95139-1139
Phone (952) 201-9209

Other practice location 1

6805 13th Ave S
Richfield, MN 55423-2611
Phone (952) 201-9209

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
I20240826004092 CA Practitioner - Clinical Social Worker 2264792563 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services CurrentSince Dec 8, 2019 Accepting new patients
Permanente Medical Group Inc Current Accepting new patients
BMSC Az LLC Clinical CurrentSince Jul 1, 2024 Accepting new patients
Fairview Express Care CurrentSince Dec 8, 2019 Accepting new patients
Grow Healthcare Group PC Clinical CurrentSince Jul 26, 2024 Accepting new patients
Fairview Health Services Current Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Aug 2, 2024 Accepting new patients
Blue Moon Senior Counseling of California LLC Clinical CurrentSince Jul 1, 2024 Accepting new patients
Permanente Medical Group Inc CurrentSince Jun 16, 2025 Accepting new patients
Permanente Medical Group, Inc CurrentSince Jun 16, 2025 Accepting new patients

Locations

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

950 W Bannock St
Ste 1100
Boise, ID 83702
Phone (201) 293-7689

10204 Bode St
Ste B
Plainfield, IL 60585
Phone (630) 229-6462

1405 Lilac Dr N
Ste 151
Minneapolis, MN 55422
Phone (763) 525-9919

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

2355 Highway 36 W
Ste 400
Saint Paul, MN 55113
Phone (612) 460-1597

4321 W College Ave
Ste 200
Appleton, WI 54914
Phone (920) 519-2920

Organizations & group practices 10

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": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761955200000",
    "number": "1669982831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7190 VIA LOMAS",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951391139",
            "telephone_number": "952-201-9209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7190 VIA LOMAS",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951391139",
            "telephone_number": "952-201-9209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6805 13th Ave S",
            "address_purpose": "LOCATION",
            "city": "Richfield",
            "state": "MN",
            "postal_code": "554232611",
            "country_code": "US",
            "telephone_number": "952-201-9209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'LEARY",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "LCSW/LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-02",
        "last_updated": "2025-11-01",
        "certification_date": "2025-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "21062",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "119262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.