Fawn Kim Downs, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 17649 Issued in CA

Practice address

3282 Adeline St
Berkeley, CA 94703-2439

Phone

(510) 981-5236

Fax

(510) 981-5255

NPI assigned

Nov 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• City of Berkeley

  • Adolescent and Children Mental Health Clinic/Center
  • Berkeley, CA
  • NPI 1750415113
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1215005350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3282 ADELINE ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947032439",
            "telephone_number": "510-981-5236",
            "fax_number": "510-981-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3282 ADELINE ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947032439",
            "telephone_number": "510-981-5236",
            "fax_number": "510-981-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWNS",
        "first_name": "FAWN",
        "middle_name": "KIM",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 17649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Warren I Dotz, M.D.
• Stephanie C Doucette, L.AC.
• Robert B Doud, MD
• Sarah Ruth Downey, BSN, RN
• Doreen Ruth Downing, PH.D.
• Eileen Brigid Doyle, PHARMD
• Kelly Dozier
• Dr Manpreet Sidhu DMD Inc
• Dr T Lau Chiropractic Corporation
• Dr. Fred Pockrass, DDS a Professional Corporation

• Clinical Social Worker in Berkeley, CA
• Providers in Berkeley, 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 Aug 28, 2007; 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.