Mitchell Eckstein, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS18381 Issued in CA

Practice address

1700 S Amphlett Blvd Ste 250I
San Mateo, CA 94402-2728

Phone

(650) 458-7920

Fax

(877) 991-8755

NPI assigned

Aug 15, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mitch Eckstein Professional name

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

Specialty

Clinical Social Worker

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1316346232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 HAWTHORNE DR",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944021976",
            "telephone_number": "650-458-7920",
            "fax_number": "877-991-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S AMPHLETT BLVD STE 250I",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022728",
            "telephone_number": "650-458-7920",
            "fax_number": "877-991-8755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKSTEIN",
        "first_name": "MITCHELL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-15",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS18381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MITCH",
            "last_name": "ECKSTEIN",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ear, Nose & Throat Medical Associates of the Peninsula, Inc
• Ear, Nose and Throat Associates of San Mateo County Inc
• Eartone Hearing Aid Center Inc.
• Marlon Eugenio Echaverry, MD
• Maria Lucila Echeverria-Bustios, MFT I
• Eco Center for Education and Wellness
• Jeffrey Edgerton
• Edgewood Center for Children and Families
• Melissa Arabian Edling
• Jacatherine Sarean Edmond

• Clinical Social Worker in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.