Individual provider Active NPI

Evangelina Camarena, LCSW

  • Clinical Social Worker
  • Oakland, CA
National Provider Identifier
1306242037
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW29346 Issued in CA
Practice address
6955 Foothill Blvd Ste 200
Oakland, CA 94605-2426
Phone
(510) 567-5806
NPI assigned
Nov 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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 LCSW29346 CA Primary

Addresses

Primary practice location

6955 Foothill Blvd Ste 200
Oakland, CA 94605-2426

Mailing address

6955 Foothill Blvd Ste 200
Oakland, CA 94605-2426
Phone (510) 567-5806

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
I20150810002230 CA Practitioner - Clinical Social Worker 8325353030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alameda Health SystemGroup PAC ID 3779494521, 597 clinicians

Practice addresses (Care Compare)

6955 Foothill Blvd
Suite 200
Oakland, CA 94605-2426
Phone (510) 567-5704

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW29346CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda Health System Current Accepting new patients
Alameda Health System CurrentSince Feb 28, 2025 Accepting new patients

Locations

6955 Foothill Blvd
Ste 200
Oakland, CA 94605
Phone (510) 567-5700

7677 Oakport St
Ste 1200
Oakland, CA 94621
Phone (510) 618-5768

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": "1415232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1306242037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6955 FOOTHILL BLVD STE 200",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946052426",
            "telephone_number": "510-567-5806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6955 FOOTHILL BLVD STE 200",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946052426",
            "telephone_number": "510-567-5806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMARENA",
        "first_name": "EVANGELINA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-06",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW29346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.