Individual provider Active NPI

Lauren Calderon

  • Clinical Social Worker
  • San Francisco, CA
National Provider Identifier
1164608444
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ASW 22077 Issued in CA
Practice address
134 Golden Gate Ave
San Francisco, CA 94102-3810
Phone
(415) 673-5700
Fax
(415) 292-7140
NPI assigned
Jan 16, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ASW 22077 CA Primary

Addresses

Primary practice location

134 Golden Gate Ave
San Francisco, CA 94102-3810

Mailing address

134 Golden Gate Ave
San Francisco, CA 94102-3810
Phone (415) 673-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • 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
I20150120000790 CA Practitioner - Clinical Social Worker 4880918945 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW 22077CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hyde Street Community Services, Inc CurrentSince Jul 1, 2015 Accepting new patients

Locations

815 Hyde St
Ste 100
San Francisco, CA 94109
Phone (415) 440-0004

134 Golden Gate Ave
San Francisco, CA 94102
Phone (415) 673-0911

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.

NPI Registry JSON

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200441600000",
    "number": "1164608444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 GOLDEN GATE AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941023810",
            "telephone_number": "415-673-5700",
            "fax_number": "415-292-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 GOLDEN GATE AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941023810",
            "telephone_number": "415-673-5700",
            "fax_number": "415-292-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERON",
        "first_name": "LAUREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW 22077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.