Active NPI
Isaac Higgins
- Clinical Social Worker
- Oakland, CA
National Provider Identifier
1023501525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ASW92438
- Practice address
- 2828 Ford St
Oakland, CA 94601-2114 - Phone
- (151) 026-8377
- NPI assigned
- Jun 8, 2018
- Sex
- Male
- 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 | ASW92438 | CA | Primary |
Addresses
Primary practice location
2828 Ford St
Oakland, CA 94601-2114
Mailing address
3108 Coolidge Ave
Oakland, CA 94602-2765
Phone (510) 646-0210
Other practice location 1
14355 SW Allen Blvd Ste 150
Beaverton, OR 97005-4741
Phone (503) 828-3402
Other practice location 2
1234 Empire St # 1500
Fairfield, CA 94533-5711
Phone (707) 426-4746
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 |
|---|---|---|---|
| ASW92438 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wolf Pack Consulting and Therapeutic Services LLC | Mental Health | Past | Accepting new patients |
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.
-
- Mental Health Counselor
- Beaverton, OR
- NPI 1336677988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686528000000",
"number": "1023501525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3108 COOLIDGE AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946022765",
"telephone_number": "510-646-0210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2828 FORD ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946012114",
"telephone_number": "151-026-8377"
}
],
"practiceLocations": [
{
"address_1": "14355 SW Allen Blvd Ste 150",
"address_purpose": "LOCATION",
"city": "Beaverton",
"state": "OR",
"postal_code": "970054741",
"country_code": "US",
"telephone_number": "503-828-3402",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1234 Empire St # 1500",
"address_purpose": "LOCATION",
"city": "Fairfield",
"state": "CA",
"postal_code": "945335711",
"country_code": "US",
"telephone_number": "707-426-4746",
"fax_number": "707-419-4952",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HIGGINS",
"first_name": "ISAAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-08",
"last_updated": "2023-06-12",
"certification_date": "2023-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW92438",
"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 Jun 12, 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.