Individual provider Active NPI

Emily Louise Pellegrino, ASW

  • Clinical Social Worker
  • San Francisco, CA
National Provider Identifier
1285103176
Registry record updated Nov 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
35674 Issued in CA
Practice address
3150 18TH St Ste 456
San Francisco, CA 94110-2077
Phone
(510) 833-6506
NPI assigned
Nov 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 35674 CA Primary

Addresses

Primary practice location

3150 18TH St Ste 456
San Francisco, CA 94110-2077

Mailing address

2501 Harrison St
Oakland, CA 94612-3811
Phone (510) 788-0876

Other practice location 1

111 Fairmount Ave
Oakland, CA 94611-5918
Phone (510) 833-6505

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
35674CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542672000000",
    "number": "1285103176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 HARRISON ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123811",
            "telephone_number": "510-788-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 18TH ST STE 456",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941102077",
            "telephone_number": "510-833-6506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Fairmount Ave",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946115918",
            "country_code": "US",
            "telephone_number": "510-833-6505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELLEGRINO",
        "first_name": "EMILY",
        "middle_name": "LOUISE",
        "credential": "ASW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-20",
        "last_updated": "2018-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "35674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; 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.