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

Monique Jacobo-Evans

Individual provider Clinical Social Worker · NPI 1538613864

Monique Jacobo-Evans is a Clinical Social Worker in San Lorenzo, California. Qualified in 2018, 8 years ago. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2016

Practice location Address checks out

2005A Via Barrett
San Lorenzo, CA 94580-1315
Phone: (707) 731-7885
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 127545 (CA)

Record details

NPI number1538613864
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 3, 2016
Last updated in NPPESMarch 28, 2025
Certification dateMarch 28, 2025
Mailing address2111 San Pablo Ave Unit 2691, Berkeley, CA 94702-5039

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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