MR. JEFF ANDREW PRENDERGAST LCSW
NPI 1063574804
Social Worker - Clinical in San Jose, CA

Active since December 15, 2006PECOS EnrolledAccepts Medicare Assignment
160 E VIRGINIA ST, SAN JOSE, CA 95112(408) 287-6200 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 6, 2023, Mar 16, 2023, Mar 3, 2023 (3 updates tracked since 2023).

About Mr. Jeff Andrew Prendergast Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JEFF ANDREW PRENDERGAST LCSW (NPI 1063574804) is an individual clinical provider in San Jose, California, licensed in California (62888) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1063574804
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JEFF ANDREW PRENDERGASTCredential: LCSW
Location Address160 E VIRGINIA STSan Jose, CA 95112-5857
Mailing Address160 E Virginia StSan Jose, CA 95112-5857 · (408) 287-6200
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateDecember 15, 2006
Last NPPES UpdateApril 6, 20233 updates tracked since enumeration
NPPES CertifiedApril 6, 2023
NPI 1063574804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · 62888
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

160 E VIRGINIA ST, San Jose, CA 95112

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Jeff Andrew Prendergast Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709103351
PECOS Enrollment IDI20150320000001
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $70.37 – $206.04
Typical copayment $0.00 (range $17.59 – $51.51)
Most-billed visit code NA
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
160 E VIRGINIA ST, #280
SAN JOSE, CA 95112
Counselor
160 E VIRGINIA ST, #280
SAN JOSE, CA 95112
Counselor (Mental Health)
160 E VIRGINIA ST, #280
SAN JOSE, CA 95112
Counselor (Mental Health)
160 E VIRGINIA ST, #280
SAN JOSE, CA 95112
Counselor
160 E VIRGINIA ST, 280
SAN JOSE, CA 95112
Counselor
160 E VIRGINIA ST, #280
SAN JOSE, CA 95112
Counselor
160 E VIRGINIA ST, #280
SAN JOSE, CA 95112
Counselor
160 E VIRGINIA ST, #280
SAN JOSE, CA 95112

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeff Prendergast's NPI number?

The NPI number for Jeff Prendergast is 1063574804. It was assigned to this individual provider in the NPPES registry on December 15, 2006.

Where is Jeff Prendergast located?

Jeff Prendergast practices at 160 E Virginia St, San Jose, CA 95112. The listed phone number is (408) 287-6200.

What is Jeff Prendergast's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jeff Prendergast enrolled in Medicare?

Yes. Jeff Prendergast is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jeff Prendergast was last updated on April 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.