Active NPI
Erick F Reijerse, LCSW
- Clinical Social Worker
- San Francisco, CA
National Provider Identifier
1124336565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 81729
- Practice address
- 555 Polk St
San Francisco, CA 94102-3333 - Phone
- (628) 217-6432
- Fax
- (415) 292-2030
- NPI assigned
- Sep 20, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 81729 | CA | Primary |
Addresses
Primary practice location
555 Polk St
San Francisco, CA 94102-3333
Mailing address
760 Harrison St
San Francisco, CA 94107-1235
Phone (415) 836-1700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81729 | Other | CA | LCSW |
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": "1284940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617062400000",
"number": "1124336565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 HARRISON ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941071235",
"telephone_number": "415-836-1700",
"fax_number": "415-836-1737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 POLK ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941023333",
"telephone_number": "628-217-6432",
"fax_number": "415-292-2030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REIJERSE",
"first_name": "ERICK",
"middle_name": "F",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-20",
"last_updated": "2021-03-30",
"certification_date": "2021-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "81729",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "81729",
"state": "CA"
}
],
"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 Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.