Active NPI
Alison Marie Mertz, ACSW
- Social Worker
- Oakland, CA
National Provider Identifier
1033760467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 88725
- 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
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 |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kip Williams Psychotherapy (a Marriage & Family Therapy Corporation) | 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
- Portland, OR
- NPI 1598202731
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.