Individual provider Active NPI

Frederico Ramirez, LCSW

  • Clinical Social Worker
  • Oakland, CA
National Provider Identifier
1083773790
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS20285 Issued in CA
Practice address
3124 International Blvd
4TH Floor
Oakland, CA 94601-2902
Phone
(510) 434-5439
Fax
(510) 437-9574
NPI assigned
Dec 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS20285 CA Primary

Addresses

Primary practice location

3124 International Blvd
4TH Floor
Oakland, CA 94601-2902

Mailing address

3124 International Blvd
4TH Floor
Oakland, CA 94601-2902
Phone (510) 434-5439

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
I20050721000318 CA Practitioner - Clinical Social Worker 5698710580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2920 International Blvd
Oakland, CA 94601-2228

2950 International Blvd
Oakland, CA 94601-2228
Phone (510) 485-5948

3124 International Blvd
Oakland, CA 94601-2902
Phone (510) 485-5948

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS20285CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Native American Health Center, Inc CurrentSince Jan 16, 2024 Accepting new patients
Native American Health Center, Inc CurrentSince Jan 16, 2024 Accepting new patients
Native American Health Center, Inc Current Accepting new patients

Locations

3124 International Blvd
Oakland, CA 94601
Phone (510) 434-5300

3124 International Blvd
#2D
Oakland, CA 94601

3124 International Blvd
Fl 4
Oakland, CA 94601
Phone (510) 434-5439

2950 International Blvd
Oakland, CA 94601
Phone (510) 485-5948

160 Capp St
San Francisco, CA 94110
Phone (415) 417-3500

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490832000000",
    "number": "1083773790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3124 INTERNATIONAL BLVD",
            "address_2": "4TH FLOOR",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946012902",
            "telephone_number": "510-434-5439",
            "fax_number": "510-437-9574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3124 INTERNATIONAL BLVD",
            "address_2": "4TH FLOOR",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946012902",
            "telephone_number": "510-434-5439",
            "fax_number": "510-437-9574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "FREDERICO",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2017-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS20285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.