Individual provider Active NPI

Missy Cheese, LCSW

  • Clinical Social Worker
  • Santa Monica, CA
National Provider Identifier
1477159754
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW75044 Issued in CA
Practice address
2001 Santa Monica Blvd Ste 860W
Santa Monica, CA 90404-2189
Phone
(323) 333-7685
NPI assigned
Dec 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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 LCSW75044 CA Primary

Addresses

Primary practice location

2001 Santa Monica Blvd Ste 860W
Santa Monica, CA 90404-2189

Mailing address

5767 W Century Blvd Suite 400
Los Angeles, CA 90095-5631
Phone (310) 301-8707

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
I20210118000232 CA Practitioner - Clinical Social Worker 4981017787 Reassigns benefits to 3 organizations
Practice locations: Oakland, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW75044CAMDClinical Social Worker
75044CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Medical Group Business Services CurrentSince Aug 27, 2025 Accepting new patients
Brightside Medical, P.C. CurrentSince May 19, 2025 Accepting new patients
UCSF Medical Group Business Services CurrentSince Aug 27, 2025 Accepting new patients
Regents of the University of California CurrentSince Aug 27, 2025 Accepting new patients
University of California San Francisco CurrentSince Aug 27, 2025 Accepting new patients
University of California San Francisco CurrentSince Aug 27, 2025 Accepting new patients
University of California San Francisco Current Accepting new patients

Locations

225 California Dr
Burlingame, CA 94010
Phone (415) 353-2002

2029 Century Park E
Ste 400
Los Angeles, CA 90067
Phone (213) 463-6426

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

675 18th St
San Francisco, CA 94143
Phone (415) 476-7527

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

1701 Divisadero St
San Francisco, CA 94115
Phone (415) 353-7300

Organizations & group practices 7

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": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1477159754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD SUITE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900955631",
            "telephone_number": "310-301-8707",
            "fax_number": "310-301-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD STE 860W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042189",
            "telephone_number": "323-333-7685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEESE",
        "first_name": "MISSY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-10",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW75044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.