Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Johanna Jefferies, LCSW108766

Individual provider Clinical Social Worker · NPI 1225589393

Johanna Jefferies, LCSW108766 is a Clinical Social Worker in Santa Cruz, California. Qualified in 2019, 7 years ago. Practices with County of Santa Cruz, a 66-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2016
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Practice location Address checks out

1400 Emeline Ave
Santa Cruz, CA 95060-1976
Phone: (831) 454-4170
Fax: (831) 454-4484
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 108766 (CA)

Record details

NPI number1225589393
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW108766
Sole proprietorYes
NPI enumeratedOctober 24, 2016
Last updated in NPPESAugust 29, 2022
Certification dateAugust 26, 2022

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)
Group practice County Of Santa Cruz — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Santa Cruz