1. Home
  2. Directory
  3. California
  4. San Lorenzo
  5. Social Worker
  6. NPI Profile

MONIQUE JACOBO-EVANS
NPI 1538613864
Social Worker - Clinical in San Lorenzo, CA

Active since August 03, 2016PECOS Enrolled
2005A VIA BARRETT, SAN LORENZO, CA 94580(707) 731-7885 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Monique Jacobo-evans NPPES

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

MONIQUE JACOBO-EVANS (NPI 1538613864) is an individual clinical provider in San Lorenzo, California, licensed in California (127545) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538613864
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMONIQUE JACOBO-EVANS
Location Address2005A VIA BARRETTSan Lorenzo, CA 94580-1315
Mailing Address2111 San Pablo Ave Unit 2691Berkeley, CA 94702-5039 · (707) 731-7885
Phone(707) 731-7885
Sole ProprietorNo
Enumeration DateAugust 3, 2016
Last NPPES UpdateMarch 28, 2025
NPPES CertifiedMarch 28, 2025
✔ NPI 1538613864 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 · 127545
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.
2005A VIA BARRETT, San Lorenzo, CA 94580
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Monique Jacobo-evans is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Monique Jacobo-evans reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
13 mi
Internal Medicine
1190 VETERANS BLVD
Redwood City, CA 94063
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1639252604 (650) 299-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94580 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 $69.00 – $202.35
Typical copayment $0.00 (range $17.25 – $50.58)
Most-billed visit code NA
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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

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

SAMONE SIMMONS
Marriage & Family Therapist
2005A VIA BARRETT
SAN LORENZO, CA 94580
Alameda County (510) 650-9296

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 Monique Jacobo-evans's NPI number?

The NPI number for Monique Jacobo-evans is 1538613864. It was assigned to this individual provider in the NPPES registry on August 3, 2016.

Where is Monique Jacobo-evans located?

Monique Jacobo-evans practices at 2005A Via Barrett, San Lorenzo, CA 94580. The listed phone number is (707) 731-7885.

What is Monique Jacobo-evans's specialty?

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

Is Monique Jacobo-evans enrolled in Medicare?

Yes. Monique Jacobo-evans is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Monique Jacobo-evans's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Monique Jacobo-evans reassigns Medicare benefits to Permanente Medical Group Inc (Redwood City, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Monique Jacobo-evans's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Monique Jacobo-evans was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.