Individual provider Active NPI

Kimberly Zaw, LCSW

  • Clinical Social Worker
  • Belmont, CA
National Provider Identifier
1073026878
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW99028 Issued in CA
Practice address
1 Davis Dr
Belmont, CA 94002-3001
Phone
(510) 378-1756
NPI assigned
Nov 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ASW79859 CA
Clinical Social Worker 1041C0700X 99028 CA
Clinical Social Worker 1041C0700X LCSW99028 CA Primary

Addresses

Primary practice location

1 Davis Dr
Belmont, CA 94002-3001

Mailing address

1 Davis Dr
Belmont, CA 94002-3001
Phone (510) 378-1756

Other practice location 1

251 Llewellyn Ave
Campbell, CA 95008-1940
Phone (510) 378-1756

Other practice location 2

867 N Fair Oaks Ave
Pasadena, CA 91103-3050
Phone (626) 487-8672

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
I20240708003360 CA Practitioner - Clinical Social Worker 0840735478 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
City and County of San FranciscoGroup PAC ID 1658280748, 368 clinicians

Practice addresses (Care Compare)

1301 Pierce St
San Francisco, CA 94115-4005
Phone (415) 292-1300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
99028CAMDClinical Social Worker
ASW79859CAMDClinical Social Worker
LCSW99028CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
City & County of San Francisco Current Accepting new patients
City and County of San Francisco CurrentSince Jan 1, 2025 Accepting new patients
Meridian Counseling CurrentSince Jun 1, 2024 Accepting new patients
City & County of San Francisco CurrentSince Jan 1, 2025 Accepting new patients

Locations

11835 W Olympic Blvd
Ste 815E
Los Angeles, CA 90064
Phone (323) 332-9905

1050 Wisconsin St
San Francisco, CA 94107
Phone (415) 648-3022

3850 17th St
Ste 204
San Francisco, CA 94114
Phone (415) 934-7700

1301 Pierce St
San Francisco, CA 94115
Phone (415) 292-1300

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1073026878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DAVIS DR",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940023001",
            "telephone_number": "510-378-1756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DAVIS DR",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940023001",
            "telephone_number": "510-378-1756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "251 Llewellyn Ave",
            "address_purpose": "LOCATION",
            "city": "Campbell",
            "state": "CA",
            "postal_code": "950081940",
            "country_code": "US",
            "telephone_number": "510-378-1756",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "867 N Fair Oaks Ave",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911033050",
            "country_code": "US",
            "telephone_number": "626-487-8672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAW",
        "first_name": "KIMBERLY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-15",
        "last_updated": "2022-07-28",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW79859",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "99028",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW99028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, CA

Sources for this page

Verify at the official NPI Registry.