Individual provider Active NPI

Cynthia Fong

  • Clinical Social Worker
  • Richmond, CA
National Provider Identifier
1194902270
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
26870 Issued in CA
Practice address
2727 Macdonald Ave
Richmond, CA 94804-3006
Phone
(510) 437-8950
NPI assigned
Jan 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ASW 20374 CA
Case Manager/Care Coordinator 171M00000X ASW 20374 CA
Clinical Social Worker 1041C0700X 26870 CA Primary

Addresses

Primary practice location

2727 Macdonald Ave
Richmond, CA 94804-3006

Mailing address

39899 Balentine Dr Ste 200
Newark, CA 94560-5361
Phone (888) 983-1682

Other practice location 1

1255 Allston Way
Berkeley, CA 94702-1833
Phone (510) 845-9010

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
I20241021001755 CA Practitioner - Clinical Social Worker 2264618040 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW 20374CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brighter Beginnings CurrentSince Jul 22, 2024 Accepting new patients
Brighter Beginnings CurrentSince Jul 22, 2024 Accepting new patients
Medi Psych Services Inc CurrentSince Mar 8, 2025 Accepting new patients
Healing Within, a Licensed Clinical Social Worker Corporation Current Accepting new patients
Berkeley Youth Alternatives PastSince May 21, 2023 Accepting new patients
Berkeley Youth Alternatives PastSince Mar 24, 2024 Accepting new patients

Locations

39899 Balentine Dr
Ste 200
Newark, CA 94560
Phone (510) 270-8171

2595 International Blvd
Oakland, CA 94601
Phone (510) 365-1974

2727 Macdonald Ave
Richmond, CA 94804
Phone (510) 213-6681

15260 Ventura Blvd
Ste 1200
Sherman Oaks, CA 91403
Phone (310) 871-0670

Organizations & group practices 7

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": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1194902270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39899 BALENTINE DR STE 200",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945605361",
            "telephone_number": "888-983-1682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 MACDONALD AVE",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948043006",
            "telephone_number": "510-437-8950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1255 Allston Way",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947021833",
            "country_code": "US",
            "telephone_number": "510-845-9010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FONG",
        "first_name": "CYNTHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-30",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW 20374",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": "ASW 20374",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "26870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, CA

Sources for this page

Verify at the official NPI Registry.