Active NPI
Shirley Ailsworth
- Marriage & Family Therapist
- San Francisco, CA
National Provider Identifier
1215215173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 1360 Mission St FL 2
San Francisco, CA 94103-2647 - Phone
- (682) 217-7762
- NPI assigned
- Jul 26, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CA | ||
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
1360 Mission St FL 2
San Francisco, CA 94103-2647
Mailing address
PO Box 880682
San Francisco, CA 94188-0682
Other practice location 1
801 Portola Dr Ste 108
San Francisco, CA 94127-1234
Phone (415) 890-3595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115563 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1215215173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 880682",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941880682"
},
{
"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": "682-217-7762"
}
],
"practiceLocations": [
{
"address_1": "801 Portola Dr Ste 108",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941271234",
"country_code": "US",
"telephone_number": "415-890-3595",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AILSWORTH",
"first_name": "SHIRLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-26",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.