Individual provider Active NPI

Nakia Linzieshavers, LCSW

  • Clinical Social Worker
  • Berkeley, CA
National Provider Identifier
1437713765
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
88491 Issued in CA
Practice address
3200 Sacramento St
Berkeley, CA 94702-2726
Phone
(510) 778-6006
NPI assigned
Apr 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X
Clinical Social Worker 1041C0700X 88491 CA Primary

Addresses

Primary practice location

3200 Sacramento St
Berkeley, CA 94702-2726

Mailing address

PO Box 71384
Oakland, CA 94612-7584
Phone (510) 593-8988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240417004118 FL Practitioner - Clinical Social Worker 3274972641 Reassigns benefits to 1 organization
I20240501002761 TX Practitioner - Clinical Social Worker 3274972641 Reassigns benefits to 1 organization
I20240528001476 CA Practitioner - Clinical Social Worker 3274972641 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Moments Therapy, Licensed Clinical Social Worker PC Clinical CurrentSince Feb 11, 2024 Accepting new patients
Grow Healthcare Group PC Clinical CurrentSince Apr 17, 2024 Accepting new patients
Bright Moments Therapy & Consultation Services Inc. Clinical CurrentSince Dec 5, 2021 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Mar 12, 2024 Accepting new patients

Locations

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Organizations & group practices 4

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": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1437713765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71384",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946127584",
            "telephone_number": "510-593-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 SACRAMENTO ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947022726",
            "telephone_number": "510-778-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINZIESHAVERS",
        "first_name": "NAKIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-22",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "88491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.