Michele Ku, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

16963 Issued in CA

Practice address

907 Key Route Blvd
Albany, CA 94706-2121

Phone

(510) 593-4719

Fax

(510) 548-3618

NPI assigned

Apr 1, 2009

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1164664488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 KEY ROUTE BLVD",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947062121",
            "telephone_number": "510-593-4719",
            "fax_number": "510-548-3618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 KEY ROUTE BLVD",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947062121",
            "telephone_number": "510-593-4719",
            "fax_number": "510-548-3618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KU",
        "first_name": "MICHELE",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-01",
        "last_updated": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "16963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "275 W. Macarthur Blvd",
            "city": "Oakland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "94611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Neil S. Kostick, M.D.
• Elizabeth Krainer, PH.D., PSY.D.
• Karen S Kramer, PH.D.
• Deborah Krow, MFT
• Krystol Alpert, Professional Clinical Counselor, PC
• Kun Huang MD PHD, Inc
• Margery Lackman, M.D.
• Yu-Ching Lai, D.D.S.
• Kelly M Lambert
• Sheng-Wei Lan, DAOM, L.AC

• Clinical Social Worker in Albany, CA
• Providers in Albany, 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 Feb 11, 2022; 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.