Active NPI
Robert David Innerfeld, LCSW
- Clinical Social Worker
- San Diego, CA
National Provider Identifier
1467651638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW 11950
- Practice address
- Kaiser Permanente
3420 Kenyon Street
San Diego, CA 92110 - Phone
- (619) 221-6129
- Fax
- (619) 221-6565
- NPI assigned
- Jul 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW 11950 | CA | Primary |
Addresses
Primary practice location
Kaiser Permanente
3420 Kenyon Street
San Diego, CA 92110
Mailing address
PO Box 180210
Coronado, CA 92178-0210
Phone (619) 522-7942
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00202464 | Other | CA | KAISER PERMANENTE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW 11950 | CA | MD | Clinical Social Worker |
| 11950 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184630400000",
"number": "1467651638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 180210",
"city": "CORONADO",
"state": "CA",
"postal_code": "921780210",
"telephone_number": "619-522-7942",
"fax_number": "619-221-6565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "KAISER PERMANENTE",
"address_2": "3420 KENYON STREET",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92110",
"telephone_number": "619-221-6129",
"fax_number": "619-221-6565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INNERFELD",
"first_name": "ROBERT",
"middle_name": "DAVID",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-17",
"last_updated": "2007-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW 11950",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER PERMANENTE",
"identifier": "00202464",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
- Kristen Inlow
- Taylor Brooke Inman, M.D.
- Fitzgerald Roberto Innamorato
- Innate Health and Healing
- Inner Compass, Licensed Clinical Social Worker, Inc. (Inner Compass Therapy)
- Brendan Joseph Innes, MD
- Inniss Physical Therapy, a Professional Corporation
- Bruce Boswell Inniss, RPT, OCS
- Leah Ashton Inniss, RPT
- Dulce Illiana Innocenzi, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.