Organization Active NPI

Santa Clara County Dads

  • Community/Behavioral Health Agency
  • San Jose, CA
National Provider Identifier
1225166317
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
ASW 13459 Issued in CA
Legal business name
SANTA CLARA COUNTY DADS
Practice address
976 Lenzen Ave
First Floor
San Jose, CA 95126-2737
Phone
(408) 792-5247
Fax
(408) 947-8719
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Laurie Ann Smith, MSW
Title
Psychiatric Social Worker 1
Phone
(408) 792-5247

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X ASW 13459 CA Primary

Addresses

Primary practice location

976 Lenzen Ave
First Floor
San Jose, CA 95126-2737

Mailing address

976 Lenzen Ave
First Floor
San Jose, CA 95126-2737
Phone (408) 792-5247

National Provider Directory

National Provider Directory

Locations

976 Lenzen Ave
Fl First
San Jose, CA 95126
Phone (408) 792-5247

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225166317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "976 LENZEN AVE",
            "address_2": "FIRST FLOOR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262737",
            "telephone_number": "408-792-5247",
            "fax_number": "408-947-8719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "976 LENZEN AVE",
            "address_2": "FIRST FLOOR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262737",
            "telephone_number": "408-792-5247",
            "fax_number": "408-947-8719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA CLARA COUNTY DADS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PSYCHIATRIC SOCIAL WORKER 1",
        "authorized_official_telephone_number": "408-792-5247",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "ASW 13459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.