Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer Denise Prudencio

Individual provider Clinical Social Worker · NPI 1417540675

Jennifer Denise Prudencio is a Clinical Social Worker in Anaheim, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021

Practice location Address checks out

356 S Claudina St
Anaheim, CA 92805-3915
Phone: (714) 855-9811
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 126607 (CA)

Record details

NPI number1417540675
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 18, 2021
Last updated in NPPESSeptember 24, 2025
Certification dateSeptember 24, 2025

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