Organization Active NPI

Kavita Nandra Licensed Clinical Social Worker Inc.

  • Adult Mental Health Clinic/Center
  • San Francisco, CA
National Provider Identifier
1285418566
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
KAVITA NANDRA LICENSED CLINICAL SOCIAL WORKER INC.
Practice address
2211 Post St Ste 300
San Francisco, CA 94115-3442
Phone
(925) 588-5083
NPI assigned
Aug 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Authorized official

Name
Kavita Kaur Nandra, LCSWNPI 1679270052
Title
Ceo and Therapist
Phone
(925) 588-5083

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

2211 Post St Ste 300
San Francisco, CA 94115-3442

Mailing address

405 El Camino Real # 236
Menlo Park, CA 94025-5240
Phone (925) 588-5083

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": "1692576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1285418566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 EL CAMINO REAL # 236",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940255240",
            "telephone_number": "925-588-5083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 POST ST STE 300",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153442",
            "telephone_number": "925-588-5083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAVITA NANDRA LICENSED CLINICAL SOCIAL WORKER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-19",
        "status": "A",
        "authorized_official_last_name": "NANDRA",
        "authorized_official_first_name": "KAVITA",
        "authorized_official_middle_name": "KAUR",
        "authorized_official_title_or_position": "CEO AND THERAPIST",
        "authorized_official_telephone_number": "925-588-5083",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "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 Aug 21, 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.