Active NPI
Judith M Kline, LCSW
- Clinical Social Worker
- San Francisco, CA
National Provider Identifier
1316064066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS21094
- Practice address
- 90 Van Ness Ave
San Francisco, CA 94102-6013 - Phone
- (415) 558-5900
- Fax
- (415) 558-5959
- NPI assigned
- Mar 26, 2007
- Sex
- Female
- Sole proprietor
- No
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 | LCS21094 | CA | Primary |
Addresses
Primary practice location
90 Van Ness Ave
San Francisco, CA 94102-6013
Mailing address
90 Van Ness Ave
San Francisco, CA 94102-6013
Phone (415) 558-5900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1430 | Other | CBHS INTERNAL USE ONLY-COMMERCIAL NUMBER | |
| 1430 | Other | SFGH INTERNAL USE ONLY |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS21094 | CA | MD | Clinical Social Worker |
| 21094 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City & County of San Francisco | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Central City Behavioral Health Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Francisco, CA
- NPI 1548379373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184544000000",
"number": "1316064066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 VAN NESS AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941026013",
"telephone_number": "415-558-5900",
"fax_number": "415-558-5959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 VAN NESS AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941026013",
"telephone_number": "415-558-5900",
"fax_number": "415-558-5959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLINE",
"first_name": "JUDITH",
"middle_name": "M",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS21094",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CBHS INTERNAL USE ONLY-COMMERCIAL NUMBER",
"identifier": "1430",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SFGH INTERNAL USE ONLY",
"identifier": "1430",
"state": null
}
],
"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 Jul 16, 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.