Active NPI
Allen Choi, LCSW
- Clinical Social Worker
- Walnut Creek, CA
National Provider Identifier
1013692722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 111175
- Practice address
- 1844 San Miguel Dr Ste 306a
Walnut Creek, CA 94596-8610 - Phone
- (510) 823-9069
- NPI assigned
- Jun 20, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 111175 | CA | Primary |
| Mental Health Counselor | 101YM0800X | 111175 | CA |
Addresses
Primary practice location
1844 San Miguel Dr Ste 306a
Walnut Creek, CA 94596-8610
Mailing address
1844 San Miguel Dr Ste 306a
Walnut Creek, CA 94596-8610
Phone (510) 823-9069
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
| License | State | Type | Specialty |
|---|---|---|---|
| 111175 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choi Licensed Clinical Social Worker & Nishimi Child Therapist | Mental Health | Current | Accepting new patients |
Locations
1844 San Miguel Dr
Ste 306A
Walnut Creek, CA 94596
Phone (510) 502-0792
Organizations & group practices 1
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.
-
dba East Bay Center for Teen and Family Therapy
- Mental Health Counselor
- Walnut Creek, CA
- NPI 1730940297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687219200000",
"number": "1013692722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1844 SAN MIGUEL DR STE 306A",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945968610",
"telephone_number": "510-823-9069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1844 SAN MIGUEL DR STE 306A",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945968610",
"telephone_number": "510-823-9069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOI",
"first_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-20",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "111175",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "111175",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.