Active NPI
Jerald Edward Shapiro, L.C.S.W. #5905
- Clinical Social Worker
- Walnut Creek, CA
National Provider Identifier
1144504523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L.C.S.W. 5905
- Practice address
- 1881 Meadow LN
Walnut Creek, CA 94595-2629 - Phone
- (925) 944-1176
- NPI assigned
- Oct 4, 2011
- 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 | L.C.S.W. 5905 | CA | Primary |
Addresses
Primary practice location
1881 Meadow LN
Walnut Creek, CA 94595-2629
Mailing address
1881 Meadow LN
Walnut Creek, CA 94595-2629
Phone (925) 944-1176
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 |
|---|---|---|---|
| L.C.S.W. 5905 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317686400000",
"number": "1144504523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1881 MEADOW LN",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945952629",
"telephone_number": "925-944-1176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1881 MEADOW LN",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945952629",
"telephone_number": "925-944-1176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAPIRO",
"first_name": "JERALD",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "L.C.S.W. #5905",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-04",
"last_updated": "2011-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "L.C.S.W. 5905",
"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 Oct 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.