Steven Ellison, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ASW70688 Issued in CA

Practice address

2523 El Portal Dr
Suite 201
San Pablo, CA 94806-3305

Phone

(510) 439-3130

NPI assigned

May 12, 2016

Last updated

May 12, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Fred Finch Youth Center

  • Community/Behavioral Health Agency
  • Oakland, CA
  • NPI 1447588876

  Clinical

  NPD (past)
• Fred Finch Youth Center

  • Community/Behavioral Health Agency
  • Richmond, CA
  • NPI 1518188580

  Clinical

  NPD (past)

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463011200000",
    "number": "1497101000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37233 PANTON TER",
            "address_2": "APARTMENT 1023",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945361932",
            "telephone_number": "267-304-3871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2523 EL PORTAL DR",
            "address_2": "SUITE 201",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063305",
            "telephone_number": "510-439-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-12",
        "last_updated": "2016-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW70688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Bay Cardiology Medical Group
• East Bay Nephrology Medical Group, Inc.
• East Bay Pulmonary Medical Group Professional Corporation
• Eastbay Hematology/Oncology Consultants, Inc
• Denise Ellison
• John Ergino, PHARMD
• Elber Escalante Vargas, FNP-C
• Jeremy Dean Eshom
• Jennifer Nicole Espinoza, MSN, APRN, FNP-C
• Emilio Esquivel, MD, MS

• Clinical Social Worker in San Pablo, CA
• Providers in San Pablo, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.