Individual provider Active NPI

Rosemary Elizabeth Lum-Levine, SOCIAL WORKER

  • Clinical Social Worker
  • Oakland, CA
National Provider Identifier
1407990633
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0519671 Issued in NY
Practice address
2620 26TH Ave
Oakland, CA 94601-1907
Phone
(510) 437-2363
Fax
(510) 437-2366
NPI assigned
Feb 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 0519671 NY
Clinical Social Worker 1041C0700X 0519671 NY Primary
Clinical Social Worker 1041C0700X 28736 CA

Addresses

Primary practice location

2620 26TH Ave
Oakland, CA 94601-1907

Mailing address

2344 6TH St
Berkeley, CA 94710-2412
Phone (510) 981-3203

Other names 1

  • Rosemary Elizabeth Lum Former name

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
0519671NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436486400000",
    "number": "1407990633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2344 6TH ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947102412",
            "telephone_number": "510-981-3203",
            "fax_number": "510-553-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 26TH AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946011907",
            "telephone_number": "510-437-2363",
            "fax_number": "510-437-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUM-LEVINE",
        "first_name": "ROSEMARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "SOCIAL WORKER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2015-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "0519671",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0519671",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "28736",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSEMARY",
            "last_name": "LUM",
            "middle_name": "ELIZABETH",
            "credential": "SOCIAL WORKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jul 10, 2015; 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.