JENNIFER LYNN SREDNIAWA (LCSW) – Clinical Social Worker, NPI 1033680392

JENNIFER LYNN SREDNIAWA (LCSW) is a healthcare provider. based in Santa cruz, California. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 83130 (CA). The NPI Number for JENNIFER LYNN SREDNIAWA (LCSW) is 1033680392

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER LYNN SREDNIAWA (LCSW)
NPI
1033680392
Phone
(831) 515-6633
Address
1400 EMELINE AVE # K
Enumeration Date
16 December 2018
Last Update Date
19 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8314542080
Graduation Year
2012 (14 years ago)
PAC ID
1557695459
Group Practice PAC ID
7618872912
Professional Enrollment ID
I20190626003319
Address ID
CA950602131SA115XXSTXX400
Telehealth
Yes

Contacts

Main Contact
NA
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Other namesUpdated within 12 months

4,987 CLINICAL SOCIAL WORKER in CA

Provider Addresses for JENNIFER LYNN SREDNIAWA (LCSW)

  • Emeline Avenue, Banana Belt, Eastside, Santa Cruz, Santa Cruz County, California, 1982, United States

    SANTA CRUZ, CA 950601976

    Phone: (831) 515-6633

    Type: Mailing

  • 1400 EMELINE AVE BLDG K

    SANTA CRUZ, CA 950601976

    Phone: (831) 331-9997

    Type: Location

  • 1080 EMELINE AVE

    SANTA CRUZ, CA 950601966

    Phone: (831) 454-4100

    Type: Mailing

  • 1430 Freedom Blvd

    Watsonville, CA 950762780

    Phone: (831) 763-8400

    Type: Location

  • 555 Soquel Ave Ste 260

    Santa Cruz, CA 950622340

    Phone: (415) 699-2574

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-06-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190626003319IClinical Social WorkerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95060)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618872912View full group profile

Reviews

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Frequently asked questions

Is there an official ID for JENNIFER LYNN SREDNIAWA (LCSW) in U.S. healthcare records?
The official identifier for JENNIFER LYNN SREDNIAWA (LCSW) is NPI 1033680392.
Is JENNIFER LYNN SREDNIAWA (LCSW) still an active registrant?
JENNIFER LYNN SREDNIAWA (LCSW) carries an active NPI according to the public dataset.
What kind of doctor is JENNIFER LYNN SREDNIAWA (LCSW)?
JENNIFER LYNN SREDNIAWA (LCSW) is associated with Clinical Social Worker in the directory — Clinical services aligned with this taxonomy classification.
Is JENNIFER LYNN SREDNIAWA (LCSW) associated with Santa Cruz?
Public fields place JENNIFER LYNN SREDNIAWA (LCSW) around Santa Cruz, California. Always confirm the exact site before visiting.
What does 6 location(s) imply?
6 practice locations appear in the available data.

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