{"npi":"1780098590","type":"NPI-1","status":"active","name":{"display":"Priscella Jaen LCSW","other":[{"code":"1","type":"Formerly known as","value":"KLOCK, PRISCELLA A"}],"first":"PRISCELLA","last":"JAEN","credential":"LCSW"},"specialty":{"primary_taxonomy":"1041C0700X","primary_taxonomy_description":"Clinical Social Worker","slug":"clinical-social-worker","schema_org_specialty":null,"all":[{"code":"1041C0700X","description":"Clinical Social Worker","primary":true,"state":"CA","license":"73679"}]},"addresses":[{"purpose":"LOCATION","street_1":"4361 LATHAM ST STE 220","city":"RIVERSIDE","state":"CA","postal_code":"925011767","country_code":"US","phone":"8582791223"},{"purpose":"MAILING","street_1":"4361 LATHAM ST STE 220","city":"RIVERSIDE","state":"CA","postal_code":"925011767","country_code":"US","phone":"8582791223"}],"license":{"state":"CA","number":"73679"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20220614002997","type_code":"14-80","type_desc":"PRACTITIONER - CLINICAL SOCIAL WORKER","state":"CA","pac_id":"1355720830"}]},"enumeration_date":"2014-06-19","last_updated":"2025-09-19","_meta":{"source":"NPPES","snapshot_date":"2025-09-19","doc_url":"https://findmynpi.com/api"}}