Organization Active NPI

Intrabalance Counseling a Licensed Clinical Social Worker Corporation

  • Clinical Social Worker
  • San Leandro, CA
National Provider Identifier
1235933227
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
INTRABALANCE COUNSELING A LICENSED CLINICAL SOCIAL WORKER CORPORATION
Practice address
15200 Hesperian Blvd Ste 202
San Leandro, CA 94578-3927
Phone
(760) 560-7996
NPI assigned
Apr 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Brenda Noemi Medina-Claudio, LCSWNPI 1699446617
Title
Ceo
Phone
(760) 560-7996

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

15200 Hesperian Blvd Ste 202
San Leandro, CA 94578-3927

Mailing address

15200 Hesperian Blvd Ste 202
San Leandro, CA 94578-3927
Phone (760) 560-7996

National Provider Directory

National Provider Directory

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": "1743465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1235933227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15200 HESPERIAN BLVD STE 202",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945783927",
            "telephone_number": "760-560-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 HESPERIAN BLVD STE 202",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945783927",
            "telephone_number": "760-560-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTRABALANCE COUNSELING A LICENSED CLINICAL SOCIAL WORKER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-01",
        "last_updated": "2025-04-01",
        "certification_date": "2025-03-28",
        "status": "A",
        "authorized_official_last_name": "MEDINA-CLAUDIO",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "NOEMI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-560-7996",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.