Individual provider Active NPI

Winnie Zhi Liao

  • Clinical Social Worker
  • Oakland, CA
National Provider Identifier
1306495007
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ASW86857 Issued in CA
Practice address
400 Roland Way
Oakland, CA 94621-2012
Phone
(510) 604-7080
NPI assigned
Sep 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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 ASW86857 CA Primary

Addresses

Primary practice location

400 Roland Way
Oakland, CA 94621-2012

Mailing address

400 Roland Way
Oakland, CA 94621-2012
Phone (510) 604-7080

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
I20240530003126 CA Practitioner - Clinical Social Worker 6103268586 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mood Clinical, P. C.Group PAC ID 4981080769, 107 clinicians

Practice addresses (Care Compare)

18191 Von Karman Ave
Suite 100
Irvine, CA 92612-7103
Phone (619) 639-9730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW86857CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
San Mateo County Clinical CurrentSince Mar 31, 2024 Accepting new patients
County of San Mateo Current Accepting new patients
Mood Clinical, P. C. CurrentSince Mar 23, 2025 Accepting new patients
County of San Mateo CurrentSince Mar 31, 2024 Accepting new patients
Glenn Medical Center, LLC PastSince Mar 23, 2025 Accepting new patients

Locations

375 89th St
Daly City, CA 94015
Phone (650) 301-8650

18191 Von Karman Ave
Ste 100
Irvine, CA 92612
Phone (530) 889-7293

802 Brewster Ave
Redwood City, CA 94063
Phone (650) 363-4111

1950 Alameda de las Pulgas
San Mateo, CA 94403
Phone (650) 573-3571

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

Organizations & group practices 5

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": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1306495007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ROLAND WAY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946212012",
            "telephone_number": "510-604-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ROLAND WAY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946212012",
            "telephone_number": "510-604-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIAO",
        "first_name": "WINNIE",
        "middle_name": "ZHI",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-05",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW86857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.