Avni Panchal, LCSW PPSC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

73399 Issued in CA

Practice address

3800 Park Blvd Ste 200
Oakland, CA 94602-1114

Phone

(510) 863-0101

NPI assigned

Dec 11, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Strength Self-Love Wellness & Consulting Inc

  • Clinical Social Worker
  • Oakland, CA
  • NPI 1881280048
  NPD Authorized official

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

{
    "created_epoch": "1260489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1154650604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29401",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946049401",
            "telephone_number": "510-863-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 PARK BLVD STE 200",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946021114",
            "telephone_number": "510-863-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANCHAL",
        "first_name": "AVNI",
        "credential": "LCSW PPSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-11",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "73399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "avni@strengthandselflove.com",
            "affiliation": "N",
            "endpointDescription": "GSuite email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3800 Park Blvd Ste 200",
            "city": "Oakland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "946021114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shaina Pan
• Shu Pan, M.D.
• Wayne Pan, MD, PHD, MBA
• Yu Pan
• Ashil Panchal
• Dawn Marie Panda, MA
• Sony Panda
• Pooja Pandit
• Samiksha Pandit
• Nirav K Pandya, MD

• Clinical Social Worker in Oakland, CA
• Providers in Oakland, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.