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JESSICA STORY ANDERSON
NPI 1710639869
Social Worker - Clinical in San Diego, CA

Active since January 20, 2022PECOS EnrolledAccepts Medicare Assignment
964 5TH AVE, SAN DIEGO, CA 92101(858) 255-1658(833) 536-2427 Get Directions Write a Review

NPPES record last updated: January 20, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jessica Story Anderson NPPES

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

JESSICA STORY ANDERSON (NPI 1710639869) is an individual clinical provider in San Diego, California, licensed in California (LCSW61295) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of New York University School Of Medicine (2006).

NPPES Registry Identity

NPI1710639869
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJESSICA STORY ANDERSON
Location Address964 5TH AVESan Diego, CA 92101-6102
Mailing Address964 5th AveSan Diego, CA 92101-6102 · (858) 255-1658 · Fax (833) 536-2427
Phone(858) 255-1658
Fax(833) 536-2427
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 2006
Enumeration DateJanuary 20, 2022
NPPES CertifiedJanuary 20, 2022
✔ NPI 1710639869 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 · LCSW61295
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.
964 5TH AVE, San Diego, CA 92101
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Story Anderson 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 ID6406376631
PECOS Enrollment IDI20250219000376
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 Reassignments

2

Medicare enrollment records show Jessica Anderson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Practice Of Being Human Psychology PC
7.2 mi
Psychologist
2204 GARNET AVE STE 305
San Diego, CA 92109
  • Reassigned Medicare billing, California enrollment
  • 10 clinicians in this Medicare group
NPI 1982254397 (858) 255-1658
Soul Tide Psychotherapy PC
25 mi
Clinical
3257 CAMINO DE LOS COCHES
Carlsbad, CA 92009
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
NPI 1528856531 (858) 945-7421

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 92101 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 $62.10 – $184.71
Typical copayment $0.00 (range $15.52 – $46.17)
Most-billed visit code NA
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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 2

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

SUSAN ZHANG R.N.
Registered Nurse
964 5TH AVE, 435
SAN DIEGO, CA 92101
San Diego County (619) 544-1435
MS. BONNIE ROSE DALY L.M.F.T.
Registered Nurse (Psychiatric/Mental Health, Adult)
964 5TH AVE, SUITE 435
SAN DIEGO, CA 92101
San Diego County (619) 544-1435

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 Jessica Anderson's NPI number?

The NPI number for Jessica Anderson is 1710639869. It was assigned to this individual provider in the NPPES registry on January 20, 2022.

Where is Jessica Anderson located?

Jessica Anderson practices at 964 5th Ave, San Diego, CA 92101. The listed phone number is (858) 255-1658.

What is Jessica Anderson's specialty?

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

Is Jessica Anderson enrolled in Medicare?

Yes. Jessica Anderson 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.

Which organizations bill Medicare for Jessica Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Anderson reassigns Medicare benefits to 2 organizations: Practice Of Being Human Psychology PC (San Diego, CA) and Soul Tide Psychotherapy PC (Carlsbad, CA). Each 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 Jessica Anderson'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 Jessica Anderson was last updated on January 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.