Healthcare Provider Details

I. General information

NPI: 1720830821
Provider Name (Legal Business Name): JEWISH FAMILY SERVICES OF SILICON VALLEY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2024
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

980 UNIVERSITY AVE
LOS GATOS CA
95032-7620
US

IV. Provider business mailing address

980 UNIVERSITY AVE
LOS GATOS CA
95032-7620
US

V. Phone/Fax

Practice location:
  • Phone: 408-556-0600
  • Fax:
Mailing address:
  • Phone: 408-556-0600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: SUSAN FRAZER
Title or Position: CEO
Credential: LCSW
Phone: 408-596-0540