Individual provider Active NPI

Megan Wimmersberger, LCSW

  • Social Worker
  • San Francisco, CA
National Provider Identifier
1154639938
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
81031 Issued in CA
Practice address
1421 Broderick St
San Francisco, CA 94115-3304
Phone
(415) 292-1760
Fax
(415) 292-1636
NPI assigned
Sep 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X
Social Worker 104100000X 32032 CA
Social Worker 104100000X 81031 CA Primary

Addresses

Primary practice location

1421 Broderick St
San Francisco, CA 94115-3304

Mailing address

1421 Broderick St
San Francisco, CA 94115-3304
Phone (415) 292-1760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230608002813 CA Practitioner - Clinical Social Worker 0547627374 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richmond Area Multi-Services, Inc.Group PAC ID 4284675588, 18 clinicians

Practice addresses (Care Compare)

3626 Balboa St
San Francisco, CA 94121-2604
Phone (415) 668-5955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family and Children's Services CurrentSince Sep 26, 2023 Accepting new patients
Jewish Family and Children's Services CurrentSince Sep 26, 2023 Accepting new patients
Richmond Area Multi-Services, Inc. CurrentSince Nov 15, 2024 Accepting new patients

Locations

3626 Balboa St
San Francisco, CA 94121
Phone (415) 282-9675

2150 Post St
San Francisco, CA 94115
Phone (415) 449-1200

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1154639938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 BRODERICK ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153304",
            "telephone_number": "415-292-1760",
            "fax_number": "415-292-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 BRODERICK ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153304",
            "telephone_number": "415-292-1760",
            "fax_number": "415-292-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIMMERSBERGER",
        "first_name": "MEGAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-15",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "32032",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "81031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.