Individual provider Active NPI

Lynsey Clark, MSW

  • Counselor
  • San Francisco, CA
National Provider Identifier
1437525847
Registry record updated Oct 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
1001 Potrero Ave # 7B
San Francisco, CA 94110-3518
Phone
(415) 206-2683
NPI assigned
Aug 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

1001 Potrero Ave # 7B
San Francisco, CA 94110-3518

Mailing address

1001 Potrero Ave # 7B
San Francisco, CA 94110-3518
Phone (415) 206-2683

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
I20210727001926 CA Practitioner - Clinical Social Worker 4688077746 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2920 International Blvd
Oakland, CA 94601-2228

2950 International Blvd
Oakland, CA 94601-2228
Phone (510) 485-5948

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
77264CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
The West Oakland Health Council Current Accepting new patients
Native American Health Center, Inc Current Accepting new patients
The West Oakland Health Council CurrentSince Jul 19, 2021 Accepting new patients
Native American Health Center, Inc CurrentSince May 13, 2024 Accepting new patients
The West Oakland Health Council CurrentSince Jul 19, 2021 Accepting new patients
Native American Health Center, Inc CurrentSince May 13, 2024 Accepting new patients

Locations

700 Adeline St
Oakland, CA 94607
Phone (510) 835-9610

2950 International Blvd
Oakland, CA 94601
Phone (510) 485-5948

7450 International Blvd
Oakland, CA 94621
Phone (510) 430-9401

3124 International Blvd
#2D
Oakland, CA 94601

10615 International Blvd
Oakland, CA 94603
Phone (510) 568-9230

160 Capp St
San Francisco, CA 94110
Phone (415) 417-3500

Organizations & group practices 6

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": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444262400000",
    "number": "1437525847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE # 7B",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518",
            "telephone_number": "415-206-2683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE # 7B",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518",
            "telephone_number": "415-206-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "LYNSEY",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.