Individual provider Active NPI

Christine Amy Stoner-Mertz, LCSW

  • Clinical Social Worker
  • Oakland, CA
National Provider Identifier
1003953571
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS14125 Issued in CA
Practice address
4368 Lincoln Ave
Oakland, CA 94602-2529
Phone
(510) 485-7100
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LCS14125 CA Primary

Addresses

Primary practice location

4368 Lincoln Ave
Oakland, CA 94602-2529

Mailing address

862 Stonehaven Dr
Walnut Creek, CA 94598-4537
Phone (925) 945-0845

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS14125CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln PastSince Feb 1, 2011 Accepting new patients
Lincoln Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003953571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "862 STONEHAVEN DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945984537",
            "telephone_number": "925-945-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4368 LINCOLN AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946022529",
            "telephone_number": "510-485-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONER-MERTZ",
        "first_name": "CHRISTINE",
        "middle_name": "AMY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS14125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.