Laura Evon Weissberger, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

90888 Issued in CA

Practice address

6333 Telegraph Ave Ste 102
Oakland, CA 94609-1359

Phone

(510) 593-1950

NPI assigned

Oct 3, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

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.

• Bonita House, Inc.

  • Case Management Agency
  • Oakland, CA
  • NPI 1073728770
  Medicare reassignment NPD Authorized official
• Cognitive Care Solutions Group Inc

  • Cognitive & Behavioral Psychologist
  • Santa Ana, CA
  • NPI 1548614183
  Medicare reassignment NPD
• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846

  Clinical

  Medicare reassignment NPD
• Bonita House, Inc.

  • Community/Behavioral Health Agency
  • Berkeley, CA
  • NPI 1811559735
  NPD Authorized official
• Bonita House, Inc.

  • Community/Behavioral Health Agency
  • Oakland, CA
  • NPI 1902253016
  NPD Authorized official

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

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1184027229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 EVERETT AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946021326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 TELEGRAPH AVE STE 102",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091359",
            "telephone_number": "510-593-1950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6211 Geary Blvd",
            "address_2": "2nd Floor",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "94121",
            "country_code": "US",
            "telephone_number": "415-474-7310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEISSBERGER",
        "first_name": "LAURA",
        "middle_name": "EVON",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-03",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086431",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "90888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Weiss, LM, CPM
• Jacquelyn A Weiss, M.D.
• Jonathan D Weiss, M.D., F.A.C.O.G
• Maia Weiss, LCSW
• Zachary L Weiss
• Elizabeth Weisz, PH.D.
• Layla Welborn, FNP
• Lynn C. Welch, MFT
• Brittany Cady Weldon, M.D.
• Brianna Wells-Singh

• 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 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.