Active NPI
Andrea Dianne Watson, MSW
- Social Worker
- Hayward, CA
National Provider Identifier
1235440025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 28091
- Practice address
- 22211 Foothill Blvd
Hayward, CA 94541-2712 - Phone
- (510) 471-5880
- NPI assigned
- Jun 25, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 28091 | CA | Primary |
Addresses
Primary practice location
22211 Foothill Blvd
Hayward, CA 94541-2712
Mailing address
22211 Foothill Blvd
Hayward, CA 94541-2712
Phone (510) 471-5880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28091 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383609600000",
"number": "1235440025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22211 FOOTHILL BLVD",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945412712",
"telephone_number": "510-471-5880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22211 FOOTHILL BLVD",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945412712",
"telephone_number": "510-471-5880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "ANDREA",
"middle_name": "DIANNE",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-25",
"last_updated": "2013-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "28091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.