Individual provider Active NPI

Takako Jo Ainsworth, LCSW

  • Clinical Social Worker
  • San Francisco, CA
National Provider Identifier
1467895029
Registry record updated Dec 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 29328 Issued in CA
Practice address
57 Post St
Ste 602
San Francisco, CA 94104-5003
Phone
(858) 405-0131
Fax
(858) 430-8377
NPI assigned
Apr 14, 2013
Last updated
Dec 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2016

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 LCS 29328 CA Primary

Addresses

Primary practice location

57 Post St
Ste 602
San Francisco, CA 94104-5003

Mailing address

57 Post St Ste 602
San Francisco, CA 94104-5023
Phone (858) 405-0131

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 1, 2024 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29328CAMDClinical Psychologist
LCS 29328CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen E. Hall MD Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1365897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482883200000",
    "number": "1467895029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 POST ST STE 602",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941045023",
            "telephone_number": "858-405-0131",
            "fax_number": "858-430-8377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 POST ST",
            "address_2": "STE 602",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941045003",
            "telephone_number": "858-405-0131",
            "fax_number": "858-430-8377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AINSWORTH",
        "first_name": "TAKAKO",
        "middle_name": "JO",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-14",
        "last_updated": "2016-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 29328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.