Active NPI
Ann M. Pagliaro, LCSW
- Mental Health Counselor
- Walnut Creek, CA
National Provider Identifier
1093907479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LCS20350
- Practice address
- 1600 S Main St
Suite 111
Walnut Creek, CA 94596-5340 - Phone
- (925) 528-9134
- NPI assigned
- Aug 9, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LCS20350 | CA | Primary |
Addresses
Primary practice location
1600 S Main St
Suite 111
Walnut Creek, CA 94596-5340
Mailing address
1600 S Main St
Suite 111
Walnut Creek, CA 94596-5340
Phone (925) 528-9134
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2021 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS20350 | CA | MD | Mental Health Counselor |
| 95807 | CA | MD | Clinical Social Worker |
| 20350 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216080000000",
"number": "1093907479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 S MAIN ST",
"address_2": "SUITE 111",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945965340",
"telephone_number": "925-528-9134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 S MAIN ST",
"address_2": "SUITE 111",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945965340",
"telephone_number": "925-528-9134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGLIARO",
"first_name": "ANN",
"middle_name": "M.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-09",
"last_updated": "2008-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "LCS20350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.