Individual provider Active NPI

Anneka Citrin, LCSW

  • Clinical Social Worker
  • Richmond, CA
National Provider Identifier
1174857775
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW68353 Issued in CA
Practice address
205 39TH St
Richmond, CA 94805-2212
Phone
(510) 492-5930
Fax
(510) 492-0567
NPI assigned
Sep 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW68353 CA Primary
Social Worker 104100000X

Addresses

Primary practice location

205 39TH St
Richmond, CA 94805-2212

Mailing address

205 39TH St
Richmond, CA 94805-2212
Phone (510) 492-5930

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
I20200929001092 CA Practitioner - Clinical Social Worker 1557780384 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW68353CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda County Current Accepting new patients
Alameda County CurrentSince Jan 31, 2025 Accepting new patients
County of Alameda Past Accepting new patients

Locations

2045 Fairmont Dr
Castro Valley, CA 94578
Phone (510) 667-7500

409 Jackson St
Ste 100
Hayward, CA 94544
Phone (510) 383-5103

7200 Bancroft Ave
Ste 125A
Oakland, CA 94605
Phone (510) 777-3800

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": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1174857775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 39TH ST",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948052212",
            "telephone_number": "510-492-5930",
            "fax_number": "510-492-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 39TH ST",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948052212",
            "telephone_number": "510-492-5930",
            "fax_number": "510-492-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CITRIN",
        "first_name": "ANNEKA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-29",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW68353",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, CA

Sources for this page

Verify at the official NPI Registry.