Ellen Starbird, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

22799 Issued in CA

Practice address

2040 Vine St
Berkeley, CA 94709-2034

Phone

(510) 520-3314

NPI assigned

Oct 9, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350864000000",
    "number": "1356539019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9541",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947090541",
            "telephone_number": "510-520-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 VINE ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947092034",
            "telephone_number": "510-520-3314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARBIRD",
        "first_name": "ELLEN",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2012-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "22799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Staley, RN
• Tanya Stallworth
• Shannon Ann Staloch, LM, CPM
• Donald H Stanford, M.D.
• Judith A Stanton, M.D.
• Ronald Brian Stark, D.D.S.
• Elizabeth Starmann, MA, PHD
• James Edward Starr, MD
• Tara Starr, MD
• Ste Consultants

• Clinical Social Worker in Berkeley, CA
• Providers in Berkeley, 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 Oct 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.