Individual provider Active NPI

Deborah Rochelle-Artmann, L.C.S.W.

  • Clinical Social Worker
  • Berkley, CA
National Provider Identifier
1003002668
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3417 Issued in HI
Practice address
3021Telegraph Ave
Suite B
Berkley, CA 94705
Phone
(510) 420-8083
Fax
(808) 543-8487
NPI assigned
Sep 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3417 HI Primary

Addresses

Primary practice location

3021Telegraph Ave
Suite B
Berkley, CA 94705

Mailing address

433 Perkins St.
#301
Oakland, CA 94610
Phone (510) 420-8083

Other names 1

  • Deborah Rochelle-Williams Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3417HIMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1003002668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 PERKINS ST.",
            "address_2": "#301",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94610",
            "telephone_number": "510-420-8083",
            "fax_number": "808-543-8487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021TELEGRAPH AVE",
            "address_2": "SUITE B",
            "city": "BERKLEY",
            "state": "CA",
            "postal_code": "94705",
            "telephone_number": "510-420-8083",
            "fax_number": "808-543-8487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHELLE-ARTMANN",
        "first_name": "DEBORAH",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-18",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "3417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "ROCHELLE-WILLIAMS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Berkley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.