Individual provider Active NPI

Jacob Anthony Escobedo, LCSW

  • Clinical Social Worker
  • Riverside, CA
National Provider Identifier
1790278398
Registry record updated Jun 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
120517 Issued in CA
Practice address
5005 La Mart Dr Ste 106
Riverside, CA 92507-5991
Phone
(951) 602-3373
NPI assigned
Jun 8, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2026

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 120517 CA Primary

Addresses

Primary practice location

5005 La Mart Dr Ste 106
Riverside, CA 92507-5991

Mailing address

PO Box 523
Rialto, CA 92377-0523
Phone (951) 218-4759

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

LicenseStateTypeSpecialty
120517CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Renovo Counseling Services, a Licensed Clinical Social Worker Corp. Mental Health CurrentSince Jun 16, 2024 Accepting new patients
Jurupa Unified School District Clinical CurrentSince Jan 21, 2022 Accepting new patients

Locations

5005 La Mart Dr
Ste 106
Riverside, CA 92507
Phone (951) 602-3373

3924 Riverview Dr
Riverside, CA 92509
Phone (951) 360-4175

Organizations & group practices 2

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": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781913600000",
    "number": "1790278398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 523",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923770523",
            "telephone_number": "951-218-4759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 LA MART DR STE 106",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925075991",
            "telephone_number": "951-602-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOBEDO",
        "first_name": "JACOB",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-08",
        "last_updated": "2026-06-20",
        "certification_date": "2026-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "120517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.

Verify at the official NPI Registry.