Individual provider Active NPI

Okechukwu C Nwadigo, MSW, ACSW, CADC II

  • Addiction (Substance Use Disorder) Counselor
  • Pittsburg, CA
National Provider Identifier
1386882819
Registry record updated Mar 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
RA859209 Issued in CA
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

Updated by the provider on Mar 6, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
RA859209OtherCACERTIFICATION

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

LicenseStateTypeSpecialty
RA859209CAMDAddiction (Substance Use Disorder) Counselor
ASW 27103CAMDClinical 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.

Verify at the official NPI Registry.