Individual provider Active NPI

Elizabeth Clendenen, MSW

  • Clinical Social Worker
  • Hayward, CA
National Provider Identifier
1265919666
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1065 A St
Hayward, CA 94541-4122
Phone
(510) 270-1150
NPI assigned
Jul 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1065 A St
Hayward, CA 94541-4122

Mailing address

2075 Hillside Dr
Fortuna, CA 95540-2231
Phone (707) 496-8216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251217004882 CA Practitioner - Clinical Social Worker 4587159553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

375 Laguna Honda Blvd
San Francisco, CA 94116-1411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
City and County of San Francisco CurrentSince Oct 10, 2025 Accepting new patients
City & County of San Francisco Single Specialty CurrentSince Oct 10, 2025 Accepting new patients

Locations

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

3850 17th St
San Francisco, CA 94114
Phone (415) 487-7500

1301 Pierce St
San Francisco, CA 94115
Phone (415) 292-1300

1525 Silver Ave
San Francisco, CA 94134
Phone (415) 657-1700

Organizations & group practices 3

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": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1265919666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 HILLSIDE DR",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "955402231",
            "telephone_number": "707-496-8216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 A ST",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945414122",
            "telephone_number": "510-270-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLENDENEN",
        "first_name": "ELIZABETH",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-27",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

Verify at the official NPI Registry.