Individual provider Active NPI

Jessica Racine Rasmussen

  • Social Worker
  • San Bernardino, CA
National Provider Identifier
1942059837
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
ASW119516 Issued in CA
Practice address
325 W Hospitality LN Ste 112
San Bernardino, CA 92408-3211
Phone
(909) 522-4656
Fax
(909) 763-5525
NPI assigned
May 14, 2024
Last updated
Jul 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X ASW119516 CA Primary

Addresses

Primary practice location

325 W Hospitality LN Ste 112
San Bernardino, CA 92408-3211

Mailing address

325 W Hospitality LN Ste 112
San Bernardino, CA 92408-3211
Phone (909) 522-4656

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
ASW119516CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Victor Community Support Services, Inc PastSince Apr 27, 2025 Accepting new patients
Victor Community Support Services, Inc. PastSince Mar 1, 2025 Accepting new patients

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": "1715644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1942059837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 W HOSPITALITY LN STE 112",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083211",
            "telephone_number": "909-522-4656",
            "fax_number": "909-763-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 W HOSPITALITY LN STE 112",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083211",
            "telephone_number": "909-522-4656",
            "fax_number": "909-763-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASMUSSEN",
        "first_name": "JESSICA",
        "middle_name": "RACINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-14",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW119516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.