Individual provider Active NPI

Marla Anderson, MSW

  • Social Worker
  • San Leandro, CA
National Provider Identifier
1245746239
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
136452 Issued in CA
Practice address
1480 159TH Ave
San Leandro, CA 94578-2052
Phone
(510) 200-9134
NPI assigned
Dec 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Social Worker 104100000X 136452 CA Primary

Addresses

Primary practice location

1480 159TH Ave
San Leandro, CA 94578-2052

Mailing address

1480 159TH Ave
San Leandro, CA 94578-2052
Phone (510) 200-9134

Other practice location 1

4321 Tompkins Ave
Oakland, CA 94619-2820
Phone (510) 910-6411

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

LicenseStateTypeSpecialty
136452CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Resource Environment for Underprivileged Groups Enterprise, Inc. PastSince Mar 17, 2024 Accepting new patients
The Resource Environment for Underprivileged Groups Enterprise, Inc. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1514419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1245746239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 159TH AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782052",
            "telephone_number": "510-200-9134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 159TH AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782052",
            "telephone_number": "510-200-9134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4321 Tompkins Ave",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946192820",
            "country_code": "US",
            "telephone_number": "510-910-6411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MARLA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-28",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "136452",
            "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 Jan 14, 2026; 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.