Active NPI
Meleah Chamberlain Terheyden, LCSW
- Clinical Social Worker
- Oakland, CA
National Provider Identifier
1063605210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS27791
- Practice address
- 445 Bellevue Avenue
Suite 101a
Oakland, CA 94612 - Phone
- (510) 506-3076
- Fax
- (510) 269-9031
- NPI assigned
- Aug 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | LCS27791 | CA | Primary |
Addresses
Primary practice location
445 Bellevue Avenue
Suite 101a
Oakland, CA 94612
Mailing address
445 Bellevue Avenue
Suite 101a
Oakland, CA 94612
Phone (510) 506-3076
Other names 1
- Ms. Meleah May Chamberlain
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS27791 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524009600000",
"number": "1063605210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 BELLEVUE AVENUE",
"address_2": "SUITE 101A",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94612",
"telephone_number": "510-506-3076",
"fax_number": "510-269-9031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 BELLEVUE AVENUE",
"address_2": "SUITE 101A",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94612",
"telephone_number": "510-506-3076",
"fax_number": "510-269-9031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERHEYDEN",
"first_name": "MELEAH",
"middle_name": "CHAMBERLAIN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-21",
"last_updated": "2018-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS27791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELEAH",
"last_name": "CHAMBERLAIN",
"middle_name": "MAY",
"prefix": "MS.",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
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 Apr 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.