NPIMap

Organization Active NPI

Encore Clinical Consultation

  • Clinical Social Worker
  • Pleasant Hill, CA
National Provider Identifier
1235773177
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ENCORE CLINICAL CONSULTATION
Practice address
399 Taylor Blvd Ste 210
Pleasant Hill, CA 94523-2287
Phone
(925) 325-1427
Fax
(925) 685-9682
NPI assigned
Nov 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Authorized official

Name
Juliette Kelley, LCSW
Title
Clinical Social Worker
Phone
(925) 325-1427

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

399 Taylor Blvd Ste 210
Pleasant Hill, CA 94523-2287

Mailing address

399 Taylor Blvd Ste 210
Pleasant Hill, CA 94523-2287
Phone (925) 325-1427

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578268800000",
    "number": "1235773177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 TAYLOR BLVD STE 210",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232287",
            "telephone_number": "925-325-1427",
            "fax_number": "925-685-9682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 TAYLOR BLVD STE 210",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232287",
            "telephone_number": "925-325-1427",
            "fax_number": "925-685-9682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCORE CLINICAL CONSULTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-04",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "JULIETTE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "925-325-1427",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.