Individual provider Active NPI

Clara Jeronimo

  • Clinical Social Worker
  • Oakland, CA
National Provider Identifier
1225511884
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
119348 Issued in CA
Practice address
7200 Bancroft Ave Ste 267
Oakland, CA 94605-2408
Phone
(510) 899-7445
Fax
(510) 647-9408
NPI assigned
Sep 10, 2018
Last updated
Mar 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 119348 CA Primary
Social Worker 104100000X

Addresses

Primary practice location

7200 Bancroft Ave Ste 267
Oakland, CA 94605-2408

Mailing address

1807 Santa Rita Rd Unit H151
Pleasanton, CA 94566-4779
Phone (925) 209-1321

Other practice location 1

2640 Martin Luther King Jr Way
Berkeley, CA 94704-3238
Phone (925) 209-1321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bonita House, Inc. CurrentSince Feb 23, 2025 Accepting new patients
Bonita House, Inc. PastSince Feb 23, 2025 Accepting new patients

Locations

1919 Addison St
Ste 204
Berkeley, CA 94704
Phone (510) 899-7445

7200 Bancroft Ave
Ste 267
Oakland, CA 94605
Phone (510) 735-0864

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1225511884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 SANTA RITA RD UNIT H151",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945664779",
            "telephone_number": "925-209-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 BANCROFT AVE STE 267",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946052408",
            "telephone_number": "510-899-7445",
            "fax_number": "510-647-9408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2640 Martin Luther King Jr Way",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947043238",
            "country_code": "US",
            "telephone_number": "925-209-1321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JERONIMO",
        "first_name": "CLARA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "119348",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.