Individual provider Active NPI

Taryn Livingston Propersi, LCSW

  • Social Worker
  • Alameda, CA
National Provider Identifier
1326297466
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LCS 28823 Issued in CA
Practice address
1242 Park St
Suite C
Alameda, CA 94501-5500
Phone
(510) 521-3500
NPI assigned
Sep 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LCS 28823 CA Primary

Addresses

Primary practice location

1242 Park St
Suite C
Alameda, CA 94501-5500

Mailing address

PO Box 2842
Alameda, CA 94501-0842
Phone (310) 980-5972

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
I20171107001415 CA Practitioner - Clinical Social Worker 0244480549 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 28823CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
California Counseling Associates a LPCC CurrentSince Aug 12, 2017 Accepting new patients

Locations

1242 Park St
Ste C
Alameda, CA 94501
Phone (510) 521-3500

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.

NPI Registry JSON

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

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1326297466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2842",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945010842",
            "telephone_number": "310-980-5972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1242 PARK ST",
            "address_2": "SUITE C",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945015500",
            "telephone_number": "510-521-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROPERSI",
        "first_name": "TARYN",
        "middle_name": "LIVINGSTON",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-12",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "LCS 28823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

Verify at the official NPI Registry.