Organization Active NPI

FLW Living Well Services

  • Clinical Social Worker
  • Vallejo, CA
National Provider Identifier
1063334944
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
FLW LIVING WELL SERVICES
Practice address
301 Georgia St Ste 316
Vallejo, CA 94590-5997
Phone
(510) 221-6652
NPI assigned
Jul 29, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Authorized official

Name
Fredericka White, LCSW
Title
Ceo
Phone
(510) 384-9083

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary
Case Management Agency 251B00000X

Addresses

Primary practice location

301 Georgia St Ste 316
Vallejo, CA 94590-5997

Mailing address

100 Admiral Callaghan LN Unit 5176
Vallejo, CA 94591-3209
Phone (510) 384-9083

National Provider Directory

National Provider Directory

Locations

100 Admiral Callaghan Ln
Unit 5176
Vallejo, CA 94591

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1785283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1063334944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ADMIRAL CALLAGHAN LN UNIT 5176",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945913209",
            "telephone_number": "510-384-9083",
            "fax_number": "510-496-3476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 GEORGIA ST STE 316",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945905997",
            "telephone_number": "510-221-6652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLW LIVING WELL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-29",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "FREDERICKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-384-9083",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.