Individual provider Active NPI

Judith Ellen Schwartz, MSW

  • Clinical Social Worker
  • Castro Valley, CA
National Provider Identifier
1083830061
Registry record updated May 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 9576 Issued in CA
Practice address
20200 Redwood Rd
Suite 3
Castro Valley, CA 94546-4312
Phone
(510) 336-1260
Fax
(510) 336-1260
NPI assigned
Apr 18, 2007
Last updated
May 9, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2012

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 LCS 9576 CA Primary

Addresses

Primary practice location

20200 Redwood Rd
Suite 3
Castro Valley, CA 94546-4312

Mailing address

6216 Chelton Dr
Oakland, CA 94611-2431
Phone (510) 530-2496

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
I20120727000352 CA Practitioner - Clinical Social Worker 2163688631 Practice locations: Castro Valley, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

20200 Redwood Rd
Suite 6
Castro Valley, CA 94546-4353
Phone (510) 336-1260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 9576CAMDClinical Social Worker
9596CAMDPhysical Therapy Clinic/Center

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336521600000",
    "number": "1083830061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6216 CHELTON DR",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946112431",
            "telephone_number": "510-530-2496",
            "fax_number": "510-336-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20200 REDWOOD RD",
            "address_2": "SUITE 3",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945464312",
            "telephone_number": "510-336-1260",
            "fax_number": "510-336-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "JUDITH",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2012-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 9576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

Verify at the official NPI Registry.