Individual provider Active NPI

Kathleen Deshayes, ASW

  • Clinical Social Worker
  • Hayward, CA
National Provider Identifier
1326189978
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ASW 21237 Issued in CA
Practice address
24461 Calaveras Rd
Hayward, CA 94545-2052
Phone
(510) 887-8249
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 ASW 21237 CA Primary

Addresses

Primary practice location

24461 Calaveras Rd
Hayward, CA 94545-2052

Mailing address

22245 Main St
Suite 200
Hayward, CA 94541-4028
Phone (510) 727-9401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20260616003534 OR Practitioner - Clinical Social Worker 1052883485 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO
Pasadena, CA 91110

PO Box
Suite 3395
Portland, OR 97208-3395

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW 21237CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Youth Centers Calaveras House Past Accepting new patients

Organizations & group practices 3

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": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326189978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22245 MAIN ST",
            "address_2": "SUITE 200",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945414028",
            "telephone_number": "510-727-9401",
            "fax_number": "510-727-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24461 CALAVERAS RD",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945452052",
            "telephone_number": "510-887-8249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESHAYES",
        "first_name": "KATHLEEN",
        "credential": "ASW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW 21237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

Verify at the official NPI Registry.