Active NPI
Markita Mays, LCSW
- Clinical Social Worker
- San Francisco, CA
National Provider Identifier
1023291432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 65204
- Practice address
- 675 18TH Street
San Francisco, CA 94143-4200 - Phone
- (415) 476-7000
- Fax
- (415) 502-6361
- NPI assigned
- Dec 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 65204 | CA | Primary |
Addresses
Primary practice location
675 18TH Street
San Francisco, CA 94143-4200
Mailing address
1600 3Rd Ave Apt 37
Oakland, CA 94606-2348
Phone (415) 583-5409
Other practice location 1
1001 Potrero Avenue
Building 20, Suite 2100
San Francisco, CA 94110
Phone (415) 583-5409
Other practice location 2
5655 College Ave Ste 318B
Oakland, CA 94618-1672
Phone (415) 583-5409
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
| License | State | Type | Specialty |
|---|---|---|---|
| 65204 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691280000000",
"number": "1023291432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 3RD AVE APT 37",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946062348",
"telephone_number": "415-583-5409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 18TH STREET",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941434200",
"telephone_number": "415-476-7000",
"fax_number": "415-502-6361"
}
],
"practiceLocations": [
{
"address_1": "1001 Potrero Avenue",
"address_2": "Building 20, Suite 2100",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "94110",
"country_code": "US",
"telephone_number": "415-583-5409",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5655 College Ave Ste 318B",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946181672",
"country_code": "US",
"telephone_number": "415-583-5409",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAYS",
"first_name": "MARKITA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-07",
"last_updated": "2023-08-06",
"certification_date": "2023-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "65204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.