Individual provider Active NPI

Elizabeth Catherine Keimer, LCSW 28724

  • Social Worker
  • San Francisco, CA
National Provider Identifier
1477600369
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
28724 Issued in CA
Practice address
365 Fulton St
San Francisco, CA 94102-4489
Phone
(415) 474-7310
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 28724 CA Primary
Clinical Social Worker 1041C0700X

Addresses

Primary practice location

365 Fulton St
San Francisco, CA 94102-4489

Mailing address

365 Fulton St
San Francisco, CA 94102-4489
Phone (415) 474-7310

Other names 1

  • Elizabeth Catherine Smith Former name

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28724CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Felton Institute CurrentSince Sep 23, 2024 Accepting new patients
Felton Institute CurrentSince Nov 3, 2024 Accepting new patients
Felton Institute Current Accepting new patients
Felton Institute CurrentSince Sep 23, 2024 Accepting new patients
Felton Institute Past Accepting new patients

Locations

1005 Atlantic Ave
Alameda, CA 94501
Phone (510) 318-6100

1814 Franklin St
Oakland, CA 94612
Phone (510) 318-6100

6221 Geary Blvd
San Francisco, CA 94121
Phone (415) 251-5770

1500 Franklin St
San Francisco, CA 94109

1108 S El Camino Real
San Mateo, CA 94402
Phone (650) 458-0026

361 3rd St
Ste B
San Rafael, CA 94901
Phone (415) 747-8178

Organizations & group practices 5

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1477600369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 FULTON ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941024489",
            "telephone_number": "415-474-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 FULTON ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941024489",
            "telephone_number": "415-474-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEIMER",
        "first_name": "ELIZABETH",
        "middle_name": "CATHERINE",
        "name_prefix": "Ms.",
        "credential": "LCSW 28724",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "28724",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "SMITH",
            "middle_name": "CATHERINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.