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

Mr. Jeff Andrew Prendergast, LCSW

Individual provider Clinical Social Worker · NPI 1063574804

Mr. Jeff Andrew Prendergast, LCSW is a Clinical Social Worker in San Jose, California. Qualified in 2006, 20 years ago. Practices with Gardner Family Health Network Inc, a 23-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
20
Licensed in
CA
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

160 E Virginia St
San Jose, CA 95112-5857
Phone: (408) 287-6200
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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 62888 (CA)

Record details

NPI number1063574804
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 15, 2006
Last updated in NPPESApril 6, 2023
Certification dateApril 6, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Gardner Family Health Network Inc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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