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

Mrs. Jessica Mary Fanene, ACSW

Individual provider Clinical Social Worker · NPI 1417815473

Mrs. Jessica Mary Fanene, ACSW is a Clinical Social Worker in Riverside, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

4187 Flat Rock Dr Ste 350
Riverside, CA 92505-7124
Phone: (951) 476-5642
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 134186 (CA)

Record details

NPI number1417815473
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACSW
Sole proprietorNo
NPI enumeratedJanuary 9, 2026
Last updated in NPPESJanuary 9, 2026
Certification dateJanuary 9, 2026

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