Active NPI
Mary Louise Gargaro, LCSW
- Clinical Social Worker
- Walnut Creek, CA
National Provider Identifier
1316004062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS9422
- Practice address
- 33 Quail CT
Walnut Creek, CA 94596-5596 - Phone
- (925) 945-6819
- Fax
- (925) 938-2476
- NPI assigned
- Jan 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS9422 | CA | Primary |
Addresses
Primary practice location
33 Quail CT
Walnut Creek, CA 94596-5596
Mailing address
604 Old Vine CT
Pleasant Hill, CA 94523-2164
Phone (925) 945-6819
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 219493 | Other | CA | MHN INSURANCE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCS9422 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316004062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 OLD VINE CT",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945232164",
"telephone_number": "925-945-6819",
"fax_number": "925-938-2476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 QUAIL CT",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945965596",
"telephone_number": "925-945-6819",
"fax_number": "925-938-2476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARGARO",
"first_name": "MARY",
"middle_name": "LOUISE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS9422",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN INSURANCE",
"identifier": "219493",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.