Active NPI
Bruce D. Kamin, L.C.S.W.
- Clinical Social Worker
- Oakland, CA
National Provider Identifier
1073919254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW12704
- Practice address
- 6355 Telegraph Ave
305
Oakland, CA 94609-1371 - Phone
- (510) 290-5898
- NPI assigned
- Nov 14, 2014
- Sex
- Male
- 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 | LCSW12704 | CA | Primary |
Addresses
Primary practice location
6355 Telegraph Ave
305
Oakland, CA 94609-1371
Mailing address
1955 San Pablo Ave.
#205B
Oakland, CA 94612
Phone (510) 290-5898
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW12704 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424736000000",
"number": "1073919254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1955 SAN PABLO AVE.",
"address_2": "#205B",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94612",
"telephone_number": "510-290-5898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6355 TELEGRAPH AVE",
"address_2": "305",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946091371",
"telephone_number": "510-290-5898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMIN",
"first_name": "BRUCE",
"middle_name": "D.",
"name_prefix": "Mr.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-11-14",
"last_updated": "2015-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW12704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Feb 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.