Individual provider Active NPI

Jennifer Anne Overley, MSW, LCSW

  • Clinical Social Worker
  • Tustin, CA
National Provider Identifier
1922284322
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
26747 Issued in CA
Practice address
10635 Costello Dr
Tustin, CA 92782-1428
Phone
(949) 216-8550
NPI assigned
Jan 15, 2008
Last updated
Feb 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904015439 VA
Clinical Social Worker 1041C0700X 34369 MD
Clinical Social Worker 1041C0700X 26747 CA Primary
Clinical Social Worker 1041C0700X TPSW6282 FL

Addresses

Primary practice location

10635 Costello Dr
Tustin, CA 92782-1428

Mailing address

2160 Barranca Pkwy # 1090
Irvine, CA 92606-4940
Phone (949) 216-8550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, DC, VT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20120510000445 CA Practitioner - Clinical Social Worker 0345402202 Reassigns benefits to 1 organization
I20260107001533 DC Practitioner - Clinical Social Worker 0345402202 Reassigns benefits to 1 organization
I20260410000909 VT Practitioner - Clinical Social Worker 0345402202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26747CAMDClinical Social Worker
TPSW6282FLMDClinical Social Worker
34369MDMDClinical Social Worker
0904015439VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Clinical CurrentSince Dec 9, 2025 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Dec 9, 2025 Accepting new patients

Locations

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

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

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1922284322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 BARRANCA PKWY # 1090",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926064940",
            "telephone_number": "949-216-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10635 COSTELLO DR",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927821428",
            "telephone_number": "949-216-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERLEY",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-15",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904015439",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "34369",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "26747",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "TPSW6282",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

Verify at the official NPI Registry.