Active NPI
Benjamin Wood
- Clinical Social Worker
- East Palo Alto, CA
National Provider Identifier
1124513296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 59696
- Practice address
- 2560 Pulgas Ave
East Palo Alto, CA 94303-1323 - Phone
- (866) 325-6466
- NPI assigned
- Jun 29, 2018
- 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 | 59696 | TX | Primary |
Addresses
Primary practice location
2560 Pulgas Ave
East Palo Alto, CA 94303-1323
Mailing address
2560 Pulgas Ave
East Palo Alto, CA 94303-1323
Phone (866) 325-6466
Other practice location 1
26 Central Ave
Redwood City, CA 94061-3823
Phone (650) 367-9030
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ASW83240 | Other | CA | CALIFORNIA BOARD OF BEHAVIORAL SCIENCES |
| LCSW59696 | Other | TX | TEXAS BOARD OF SOCIAL WORK EXAMINERS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 59696 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Our Common Ground, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Redwood City, CA
- NPI 1346390200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1124513296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2560 PULGAS AVE",
"city": "EAST PALO ALTO",
"state": "CA",
"postal_code": "943031323",
"telephone_number": "866-325-6466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2560 PULGAS AVE",
"city": "EAST PALO ALTO",
"state": "CA",
"postal_code": "943031323",
"telephone_number": "866-325-6466"
}
],
"practiceLocations": [
{
"address_1": "26 Central Ave",
"address_purpose": "LOCATION",
"city": "Redwood City",
"state": "CA",
"postal_code": "940613823",
"country_code": "US",
"telephone_number": "650-367-9030",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOOD",
"first_name": "BENJAMIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-29",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "59696",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA BOARD OF BEHAVIORAL SCIENCES",
"identifier": "ASW83240",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS BOARD OF SOCIAL WORK EXAMINERS",
"identifier": "LCSW59696",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.