Audrey Grace Pesek | San Jose, CA • PECOS Search

Audrey Grace Pesek

Social Worker

Behavioral Health & Social Service Providers

485 N 1st St, San Jose, CA 95112-4067

(510) 317-1444 (408) 797-6184

PECOS Enrollment

Based on the most recent information from CMS, provider Audrey Grace Pesek does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1396635900
Provider Type
Individual
Full Name
Pesek, Audrey Grace
Title
Mrs.
Credential
ASW

Gender
Female
Sole Proprietor
No
Enumeration Date
7/7/2025
Last Updated
10/28/2025

Contact Information

Practice Location

485 N 1st St, San Jose, CA 95112-4067

Unlisted Fax

Mailing Location

1312 Cerro Verde, San Jose, CA 95120-4905

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License ASW131305 California