Individual provider Active NPI

Moushumi Sen, LCSW

  • Clinical Social Worker
  • Pleasant Hill, CA
National Provider Identifier
1013277219
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
79576 Issued in CA
Practice address
200 Gregory LN Ste C202
Pleasant Hill, CA 94523-3353
Phone
(510) 892-2892
Fax
(510) 721-6710
NPI assigned
May 22, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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 79576 CA Primary

Addresses

Primary practice location

200 Gregory LN Ste C202
Pleasant Hill, CA 94523-3353

Mailing address

200 Gregory LN Ste C202
Pleasant Hill, CA 94523-3353
Phone (510) 892-2892

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211025002322 CA Practitioner - Clinical Social Worker 8325436355 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bayside Counseling and Consulting a Licensed Clinical Social Worker Clinical CurrentSince Oct 23, 2023 Accepting new patients
Insight Wellness Center Clinical CurrentSince Oct 14, 2021 Accepting new patients

Locations

1611 Sycamore Ave
Unit 5061
Hercules, CA 94547

200 Gregory Ln
Ste C202
Pleasant Hill, CA 94523
Phone (510) 892-2892

2821 Crow Canyon Rd
Ste 202
San Ramon, CA 94583
Phone (925) 216-3510

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": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1013277219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GREGORY LN STE C202",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945233353",
            "telephone_number": "510-892-2892",
            "fax_number": "510-721-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GREGORY LN STE C202",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945233353",
            "telephone_number": "510-892-2892",
            "fax_number": "510-721-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEN",
        "first_name": "MOUSHUMI",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-22",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "79576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, CA

Sources for this page

Verify at the official NPI Registry.