Individual provider Active NPI

Simone Marie Garrigues, M.A., L.C.S.W.

  • Clinical Social Worker
  • Oakland, CA
National Provider Identifier
1043499452
Registry record updated Feb 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
70031 Issued in CA
Practice address
2950 International Blvd
Native American Health Center
Oakland, CA 94601-2228
Phone
(510) 535-4400
Fax
(510) 748-0116
NPI assigned
Nov 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 70031 CA Primary

Addresses

Primary practice location

2950 International Blvd
Native American Health Center
Oakland, CA 94601-2228

Mailing address

3288 21St St # 177
San Francisco, CA 94110-2423
Phone (415) 294-0155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160310001343 CA Practitioner - Clinical Social Worker 2163728536 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
70031CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
An Elegant Sufficiency, a Psychological Corporation CurrentSince Apr 6, 2024 Accepting new patients
Native American Health Center, Inc Past Accepting new patients

Locations

5250 Claremont Ave
Ste 118
Stockton, CA 95207
Phone (209) 200-8305

2431 W March Ln
Ste 200
Stockton, CA 95207
Phone (209) 200-8305

Organizations & group practices 2

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": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1043499452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3288 21ST ST # 177",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941102423",
            "telephone_number": "415-294-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 INTERNATIONAL BLVD",
            "address_2": "NATIVE AMERICAN HEALTH CENTER",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946012228",
            "telephone_number": "510-535-4400",
            "fax_number": "510-748-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRIGUES",
        "first_name": "SIMONE",
        "middle_name": "MARIE",
        "credential": "M.A., L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-01",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "70031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.