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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JENESSA HEADLEY
NPI 1316675861
Social Worker - Clinical in San Jacinto, CA

Active since August 11, 2022
1281 N STATE ST STE A, #106, SAN JACINTO, CA 92583(909) 353-7690 Get Directions Write a Review

NPPES record last updated: September 7, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 7, 2026, Apr 21, 2026, Apr 13, 2026 and 1 more (4 updates tracked since 2022).

About Jenessa Headley NPPES

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

JENESSA HEADLEY (NPI 1316675861) is an individual clinical provider in San Jacinto, California, licensed in California (88752) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1316675861
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJENESSA HEADLEY
Location Address1281 N STATE ST STE A, #106San Jacinto, CA 92583-6317
Mailing Address1281 N State St Ste A, #106San Jacinto, CA 92583-6317 · (909) 353-7690
Phone(909) 353-7690
Sole ProprietorYes
Enumeration DateAugust 11, 2022
Last NPPES UpdateSeptember 7, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2026
✔ NPI 1316675861 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 · 88752
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.
1281 N STATE ST STE A, San Jacinto, CA 92583
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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 Jenessa Headley's NPI number?

The NPI number for Jenessa Headley is 1316675861. It was assigned to this individual provider in the NPPES registry on August 11, 2022.

Where is Jenessa Headley located?

Jenessa Headley practices at 1281 N State St Ste A #106, San Jacinto, CA 92583. The listed phone number is (909) 353-7690.

What is Jenessa Headley's specialty?

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

When was this NPI record last updated?

The NPPES record for Jenessa Headley was last updated on September 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.