Individual provider Active NPI

Fumiko Inoue Didomizio, LCSW

  • Clinical Social Worker
  • San Francisco, CA
National Provider Identifier
1093359622
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
115846 Issued in CA
Practice address
888 7TH St Unit 51
San Francisco, CA 94107-1585
Phone
(415) 871-3251
NPI assigned
Nov 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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 115846 CA Primary

Addresses

Primary practice location

888 7TH St Unit 51
San Francisco, CA 94107-1585

Mailing address

888 7TH St Unit 51
San Francisco, CA 94107-1585
Phone (415) 871-3251

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
115846CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1093359622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 7TH ST UNIT 51",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941071585",
            "telephone_number": "415-871-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 7TH ST UNIT 51",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941071585",
            "telephone_number": "415-871-3251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIDOMIZIO",
        "first_name": "FUMIKO",
        "middle_name": "INOUE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "115846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.