Individual provider Active NPI

Roberta Lee Stern

  • Clinical Social Worker
  • Berkeley, CA
National Provider Identifier
1427199066
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5240 Issued in CA
Practice address
1903 Berkeley Way
#3
Berkeley, CA 94704-1007
Phone
(510) 649-5854
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5240 CA Primary

Addresses

Primary practice location

1903 Berkeley Way
#3
Berkeley, CA 94704-1007

Mailing address

1903 Berkeley Way
#3
Berkeley, CA 94704-1007
Phone (510) 649-5854

Other identifiers 1

IdentifierTypeStateIssuer
010096OtherCAVALUE OPTIONS PROV. #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050518001033 CA Practitioner - Clinical Social Worker 9739120882 Practice locations: Oakland, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Oakland, CA 94618
Phone (510) 649-5854

3871 Piedmont Ave
Oakland, CA 94611-5378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Cedar Psychiatry PastSince Sep 8, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427199066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 BERKELEY WAY",
            "address_2": "#3",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041007",
            "telephone_number": "510-649-5854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 BERKELEY WAY",
            "address_2": "#3",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041007",
            "telephone_number": "510-649-5854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERN",
        "first_name": "ROBERTA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "5240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS PROV. #",
            "identifier": "010096",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.