Active NPI
Okechukwu C Nwadigo, MSW, ACSW, CADC II
- Addiction (Substance Use Disorder) Counselor
- Pittsburg, CA
National Provider Identifier
1386882819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- RA859209
- Practice address
- 1304 San Lucas Dr
Pittsburg, CA 94565-7606 - Phone
- (925) 698-0854
- Fax
- (925) 291-2410
- NPI assigned
- Jan 21, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | RA859209 | CA | Primary |
| Clinical Social Worker | 1041C0700X | ASW 27103 | CA |
Addresses
Primary practice location
1304 San Lucas Dr
Pittsburg, CA 94565-7606
Mailing address
1304 San Lucas Dr
Pittsburg, CA 94565-7606
Phone (925) 698-0854
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RA859209 | Other | CA | CERTIFICATION |
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 |
|---|---|---|---|
| RA859209 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| ASW 27103 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267833600000",
"number": "1386882819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1304 SAN LUCAS DR",
"city": "PITTSBURG",
"state": "CA",
"postal_code": "945657606",
"telephone_number": "925-698-0854",
"fax_number": "925-291-2410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1304 SAN LUCAS DR",
"city": "PITTSBURG",
"state": "CA",
"postal_code": "945657606",
"telephone_number": "925-698-0854",
"fax_number": "925-291-2410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NWADIGO",
"first_name": "OKECHUKWU",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "MSW, ACSW, CADC II",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-21",
"last_updated": "2010-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "RA859209",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW 27103",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFICATION",
"identifier": "RA859209",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburg, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.