Douglas Gordon Foster, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

114111 Issued in CA

Practice address

1360 Mission St FL 2
San Francisco, CA 94103-2647

Phone

(628) 217-7740

NPI assigned

Jun 28, 2017

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1194246215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 WELLINGTON WAY",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956883607",
            "telephone_number": "707-816-2346",
            "fax_number": "707-864-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 MISSION ST FL 2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032647",
            "telephone_number": "628-217-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "DOUGLAS",
        "middle_name": "GORDON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-28",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "114111",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "84997",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Foss
• Anne Christina Fossella, MA, MFT
• Audrey E. Foster-Barber, M.D.
• April Foster
• Benica Jane Foster, LCSW
• Dustin Foster
• Elyse Foster, MD
• Eric Foster Jr.
• Eric Shawron Foster
• Isaac M Foster

• Clinical Social Worker in San Francisco, CA
• Providers in San Francisco, 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 May 31, 2023; 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.