Individual provider Active NPI

Alison Marie Mertz, ACSW

  • Social Worker
  • Oakland, CA
National Provider Identifier
1033760467
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
88725 Issued in CA
Practice address
3207 Lakeshore Ave
Oakland Lgbtq Community Center
Oakland, CA 94610
Phone
(510) 400-5510
NPI assigned
Sep 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 88725 CA Primary

Addresses

Primary practice location

3207 Lakeshore Ave
Oakland Lgbtq Community Center
Oakland, CA 94610

Mailing address

3207 Lakeshore Ave
Oakland Lgbtq Community Center
Oakland, CA 94610

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kip Williams Psychotherapy (a Marriage & Family Therapy Corporation) PastSince Sep 29, 2019 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1033760467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3207 LAKESHORE AVE",
            "address_2": "OAKLAND LGBTQ COMMUNITY CENTER",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3207 LAKESHORE AVE",
            "address_2": "OAKLAND LGBTQ COMMUNITY CENTER",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94610",
            "telephone_number": "510-400-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERTZ",
        "first_name": "ALISON",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "88725",
            "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 Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.