Individual provider Active NPI

Dwaine Edward Radden Jr., ACSW

  • Social Worker
  • Burlingame, CA
National Provider Identifier
1073257929
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
106145 Issued in CA
Practice address
700 Airport Blvd Ste 490&495
Burlingame, CA 94010-1908
Phone
(415) 858-2321
NPI assigned
Apr 26, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 106145 CA Primary

Addresses

Primary practice location

700 Airport Blvd Ste 490&495
Burlingame, CA 94010-1908

Mailing address

700 Airport Blvd Ste 490&495
Burlingame, CA 94010-1908
Phone (415) 858-2321

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

State licenses

LicenseStateTypeSpecialty
106145CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1073257929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 AIRPORT BLVD STE 490&495",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940101908",
            "telephone_number": "415-858-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 AIRPORT BLVD STE 490&495",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940101908",
            "telephone_number": "415-858-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADDEN",
        "first_name": "DWAINE",
        "middle_name": "EDWARD",
        "name_suffix": "Jr.",
        "credential": "ACSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-26",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "106145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.