Individual provider Active NPI

Anna Grace Sasser-Christian

  • Clinical Social Worker
  • Walnut Creek, CA
National Provider Identifier
1255966677
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
113642 Issued in CA
Practice address
31 Panoramic Way Ste 202
Walnut Creek, CA 94595-1627
Phone
(415) 578-0203
NPI assigned
Mar 5, 2020
Last updated
Mar 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Mental Health Counselor 101YM0800X 94255 CA
Social Worker 104100000X 94255 CA
Clinical Social Worker 1041C0700X 113642 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X 94255 CA

Addresses

Primary practice location

31 Panoramic Way Ste 202
Walnut Creek, CA 94595-1627

Mailing address

31 Panoramic Way Ste 202
Walnut Creek, CA 94595-1627
Phone (415) 578-0203

Other practice location 1

2828 Ford St
Oakland, CA 94601-2114
Phone (510) 268-3770

Other practice location 2

2275 Arlington Dr
San Leandro, CA 94578-1132
Phone (510) 317-1444

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
113642CAMDClinical Social Worker
94255CAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Little Dove Counseling, a Licensed Clinical Social Worker, Corp. Clinical CurrentSince Sep 5, 2023 Accepting new patients

Locations

31 Panoramic Way
Ste 202
Walnut Creek, CA 94595
Phone (415) 578-0203

Organizations & group practices 1

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": "1583366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1255966677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 PANORAMIC WAY STE 202",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945951627",
            "telephone_number": "415-578-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 PANORAMIC WAY STE 202",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945951627",
            "telephone_number": "415-578-0203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2828 Ford St",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946012114",
            "country_code": "US",
            "telephone_number": "510-268-3770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2275 Arlington Dr",
            "address_purpose": "LOCATION",
            "city": "San Leandro",
            "state": "CA",
            "postal_code": "945781132",
            "country_code": "US",
            "telephone_number": "510-317-1444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SASSER-CHRISTIAN",
        "first_name": "ANNA",
        "middle_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-05",
        "last_updated": "2023-03-30",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "94255",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "94255",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "113642",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "94255",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.