Individual provider Active NPI

Elizabeth V Delgado, LCSW

  • Clinical Social Worker
  • Pittsburg, CA
National Provider Identifier
1174999494
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
99194 Issued in CA
Practice address
2240 Gladstone Dr Ste 2
Pittsburg, CA 94565-5126
Phone
(925) 431-1251
NPI assigned
Aug 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Social Worker 1041C0700X 99194 CA Primary

Addresses

Primary practice location

2240 Gladstone Dr Ste 2
Pittsburg, CA 94565-5126

Mailing address

1501 Fruitvale Ave
Oakland, CA 94601-2322
Phone (510) 535-6200

Other practice location 1

1501 Fruitvale Ave
Oakland, CA 94601-2322
Phone (510) 535-6200

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
I20210104000004 CA Order and Referring Only - Clinical Social Worker 4880007277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1174999494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 FRUITVALE AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946012322",
            "telephone_number": "510-535-6200",
            "fax_number": "510-535-4167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 GLADSTONE DR STE 2",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945655126",
            "telephone_number": "925-431-1251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Fruitvale Ave",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946012322",
            "country_code": "US",
            "telephone_number": "510-535-6200",
            "fax_number": "510-535-4167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELGADO",
        "first_name": "ELIZABETH",
        "middle_name": "V",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-20",
        "last_updated": "2021-12-16",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "99194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, CA

Sources for this page

Verify at the official NPI Registry.