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

Jennifer Ruiz

Individual provider Clinical Social Worker · NPI 1205357555

Jennifer Ruiz is a Clinical Social Worker in San Pablo, California. Qualified in 2019, 7 years ago. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2017

Practice location Address checks out

2023 Vale Rd
San Pablo, CA 94806-3834
Phone: (510) 981-4100
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 LCSW121577 (CA)

Record details

NPI number1205357555
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 27, 2017
Last updated in NPPESNovember 19, 2024
Certification dateNovember 19, 2024
Mailing address2023 Vale Rd, San Pablo, CA 94806-3834

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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