NPIMap

Organization Active NPI

Counseling Services for Seniors, a Licensed Clinical Social Worker Co

  • Clinical Social Worker
  • Oakland, CA
National Provider Identifier
1194030999
Registry record updated Dec 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
24768 Issued in CA
Legal business name
COUNSELING SERVICES FOR SENIORS, A LICENSED CLINICAL SOCIAL WORKER CO
Practice address
466 Crescent St
#112
Oakland, CA 94610-2662
Phone
(510) 332-3631
Fax
(866) 711-3422
NPI assigned
Aug 17, 2010
Last updated
Dec 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2015

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

Authorized official

Name
Ms. Meredith L Caplin, LCSWNPI 1891948964
Title
Ceo
Phone
(510) 332-3631

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 23379 CA
Clinical Social Worker 1041C0700X 25478 CA
Clinical Social Worker 1041C0700X 24768 CA Primary

Addresses

Primary practice location

466 Crescent St
#112
Oakland, CA 94610-2662

Mailing address

466 Crescent St
#112
Oakland, CA 94610-2662
Phone (510) 332-3631

Other names 1

  • n/a Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451347200000",
    "number": "1194030999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 CRESCENT ST",
            "address_2": "#112",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946102662",
            "telephone_number": "510-332-3631",
            "fax_number": "866-711-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 CRESCENT ST",
            "address_2": "#112",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946102662",
            "telephone_number": "510-332-3631",
            "fax_number": "866-711-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING SERVICES FOR SENIORS, A LICENSED CLINICAL SOCIAL WORKER CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-17",
        "last_updated": "2015-12-29",
        "status": "A",
        "authorized_official_last_name": "CAPLIN",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-332-3631",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "23379",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "25478",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "24768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "n/a",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; 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.