Active NPI
Tiffany Cherond Nicole Thomas
- Clinical Social Worker
- Oakland, CA
National Provider Identifier
1376232850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 120293
- Practice address
- 1605 Jefferson St
Oakland, CA 94612-1215 - Phone
- (510) 923-1099
- Fax
- (510) 923-0894
- NPI assigned
- May 2, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 120293 | CA | Primary |
Addresses
Primary practice location
1605 Jefferson St
Oakland, CA 94612-1215
Mailing address
150 Grand Ave Ste 200
Oakland, CA 94612-3726
Phone (510) 923-1099
Other practice location 1
730 N Central Ave
Tracy, CA 95376-4104
Phone (209) 650-4000
Other practice location 2
2151 W Grant Line Rd
Tracy, CA 95377-7309
Phone (209) 820-1500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120293 | CA | MD | Social Worker |
Interoperability endpoints
- tiffany.thomas.p1@direct.cmcentersinc.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786665600000",
"number": "1376232850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 GRAND AVE STE 200",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946123726",
"telephone_number": "510-923-1099",
"fax_number": "510-923-0894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 JEFFERSON ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946121215",
"telephone_number": "510-923-1099",
"fax_number": "510-923-0894"
}
],
"practiceLocations": [
{
"address_1": "730 N Central Ave",
"address_purpose": "LOCATION",
"city": "Tracy",
"state": "CA",
"postal_code": "953764104",
"country_code": "US",
"telephone_number": "209-650-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2151 W Grant Line Rd",
"address_purpose": "LOCATION",
"city": "Tracy",
"state": "CA",
"postal_code": "953777309",
"country_code": "US",
"telephone_number": "209-820-1500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS",
"first_name": "TIFFANY",
"middle_name": "CHEROND NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-02",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "120293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.