Individual provider Active NPI

Jiewen Huang, LCSW

  • Clinical Social Worker
  • San Francisco, CA
National Provider Identifier
1316462252
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
102579 Issued in CA
Practice address
2140 Sutter St Ste 2
San Francisco, CA 94115-3120
Phone
(415) 298-0482
NPI assigned
Aug 11, 2017
Last updated
Nov 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X ASW84062 CA
Student in an Organized Health Care Education/Training ProgramGroup: 193400000X SINGLE SPECIALTY GROUP 390200000X
Clinical Social Worker 1041C0700X 102579 CA Primary

Addresses

Primary practice location

2140 Sutter St Ste 2
San Francisco, CA 94115-3120

Mailing address

1630 S. Delaware Street
25358
San Mateo, CA 94402
Phone (415) 298-0482

Other practice location 1

1001 Potrero Ave # 1Mbldg5
San Francisco, CA 94110-3518
Phone (415) 298-0482

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
I20210810001537 CA Practitioner - Clinical Social Worker 7911301163 Practice locations: Millbrae, CA; San Francisco, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2140 Sutter St
Suite 2
San Francisco, CA 94115-3120
Phone (415) 298-0482

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW84062CAMDCounselor
102579CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Present Moment Wellness, Professional Corporation: Licensed Clinical Social Worker Clinical CurrentSince Apr 1, 2023 Accepting new patients
Wellmind Online Ca Licensed Clinical Social Worker Prof Corp Clinical Past Accepting new patients

Locations

1907 Ocean Ave
#2
San Francisco, CA 94127
Phone (844) 949-6636

2140 Sutter St
Ste 2
San Francisco, CA 94115
Phone (415) 298-0482

1630 S Delaware St
Unit 25358
San Mateo, CA 94402

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1502409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1316462252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 S. DELAWARE STREET",
            "address_2": "25358",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "94402",
            "telephone_number": "415-298-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 SUTTER ST STE 2",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153120",
            "telephone_number": "415-298-0482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Potrero Ave # 1Mbldg5",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941103518",
            "country_code": "US",
            "telephone_number": "415-298-0482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUANG",
        "first_name": "JIEWEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-11",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "ASW84062",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "102579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.