Individual provider Active NPI

Linda Poggetti, L.C.S.W.

  • Social Worker
  • Oakland, CA
National Provider Identifier
1144494626
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
24331 Issued in CA
Practice address
10700 Macarthur Blvd
Suite 14B
Oakland, CA 94605-5298
Phone
(510) 563-4300
NPI assigned
Apr 16, 2008
Last updated
Apr 16, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 24331 CA Primary

Addresses

Primary practice location

10700 Macarthur Blvd
Suite 14B
Oakland, CA 94605-5298

Mailing address

10700 Macarthur Blvd
Suite 14B
Oakland, CA 94605
Phone (510) 563-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 22, 2023 through Dec 22, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24331CAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1144494626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 MACARTHUR BLVD",
            "address_2": "SUITE 14B",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94605",
            "telephone_number": "510-563-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 MACARTHUR BLVD",
            "address_2": "SUITE 14B",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946055298",
            "telephone_number": "510-563-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POGGETTI",
        "first_name": "LINDA",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "24331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.