Individual provider Active NPI

Mari Loria, LCSW

  • Clinical Social Worker
  • Oakland, CA
National Provider Identifier
1437324639
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS13382 Issued in CA
Practice address
5237 College Ave
Oakland, CA 94618-1414
Phone
(510) 601-5656
Fax
(510) 527-4079
NPI assigned
Apr 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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 LCS13382 CA Primary

Addresses

Primary practice location

5237 College Ave
Oakland, CA 94618-1414

Mailing address

5237 College Ave
Oakland, CA 94618-1414
Phone (510) 601-5656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 20, 2024 through Apr 20, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCS13382CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1437324639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5237 COLLEGE AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181414",
            "telephone_number": "510-601-5656",
            "fax_number": "510-527-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5237 COLLEGE AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181414",
            "telephone_number": "510-601-5656",
            "fax_number": "510-527-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORIA",
        "first_name": "MARI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS13382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.