Ronald James Sovak, PHD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS2400 Issued in CA

Practice address

327 N San Mateo Dr
#2
San Mateo, CA 94401-2543

Phone

(650) 348-1519

Fax

(650) 843-1549

NPI assigned

Aug 4, 2006

Sex

Male

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)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386652253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 N SAN MATEO DR",
            "address_2": "#2",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012543",
            "telephone_number": "650-348-1519",
            "fax_number": "650-843-1549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 N SAN MATEO DR",
            "address_2": "#2",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012543",
            "telephone_number": "650-348-1519",
            "fax_number": "650-843-1549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOVAK",
        "first_name": "RONALD",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS2400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in San Mateo, CA
• Providers in San Mateo, 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 Jul 8, 2007; 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.