Individual provider Active NPI

Ryoko Nagata Chernomaz, LCSW

  • Clinical Social Worker
  • San Francisco, CA
National Provider Identifier
1427222330
Registry record updated Dec 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
25235 Issued in CA
Practice address
2211 Post St Ste 300
San Francisco, CA 94115-3442
Phone
(415) 325-2019
NPI assigned
Apr 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2021

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 25235 CA Primary

Addresses

Primary practice location

2211 Post St Ste 300
San Francisco, CA 94115-3442

Mailing address

2211 Post St Ste 300
San Francisco, CA 94115-3464
Phone (415) 325-2019

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
I20210603000415 CA Practitioner - Clinical Social Worker 2961829544 Practice locations: San Francisco, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2211 Post St
Suite 300
San Francisco, CA 94115-3464
Phone (415) 325-2019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25235CAMDCritical Care Certified Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638576000000",
    "number": "1427222330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 POST ST STE 300",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153464",
            "telephone_number": "415-325-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 POST ST STE 300",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153442",
            "telephone_number": "415-325-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERNOMAZ",
        "first_name": "RYOKO",
        "middle_name": "NAGATA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2021-12-04",
        "certification_date": "2021-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "25235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.