Active NPI
Pauline Padrul
- Clinical Social Worker
- Berkeley, CA
National Provider Identifier
1104531292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 25630
- Practice address
- 2500 Grant St
Berkeley, CA 94703-1914 - Phone
- (415) 283-5445
- NPI assigned
- Jan 23, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 25630 | CA | Primary |
Addresses
Primary practice location
2500 Grant St
Berkeley, CA 94703-1914
Mailing address
2500 Grant St
Berkeley, CA 94703-1914
Phone (415) 283-5445
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | ? |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674432000000",
"number": "1104531292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 GRANT ST",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947031914",
"telephone_number": "415-283-5445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 GRANT ST",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947031914",
"telephone_number": "415-283-5445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADRUL",
"first_name": "PAULINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-23",
"last_updated": "2023-01-23",
"certification_date": "2023-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "25630",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "?",
"affiliation": "N",
"address_1": "2500 Grant Street",
"city": "BERKELEY",
"state": "CA",
"country_code": "US",
"postal_code": "94703",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.