Active NPI
CLB Associates
- Clinical Social Worker
- Santa Rosa, CA
National Provider Identifier
1013066489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW5501
- Legal business name
- CLB ASSOCIATES
- Practice address
- 400 W 3Rd St
D-250
Santa Rosa, CA 95401-7601 - Phone
- (707) 566-7571
- NPI assigned
- Jan 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lynn Blumenthal
- Title
- Manager
- Phone
- (707) 566-7571
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW5501 | CA | Primary |
Addresses
Primary practice location
400 W 3Rd St
D-250
Santa Rosa, CA 95401-7601
Mailing address
400 W 3Rd St
D-250
Santa Rosa, CA 95401-7601
Phone (707) 566-7571
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CSW055010 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
400 W 3rd St
#D250
Santa Rosa, CA 95401
Phone (707) 566-7571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1013066489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 W 3RD ST",
"address_2": "D-250",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954017601",
"telephone_number": "707-566-7571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W 3RD ST",
"address_2": "D-250",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954017601",
"telephone_number": "707-566-7571"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLB ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BLUMENTHAL",
"authorized_official_first_name": "LYNN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "707-566-7571",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "CSW5501",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CSW055010",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.