Individual provider Active NPI

Nandita Hegde, LCSW

  • Clinical Social Worker
  • San Jose, CA
National Provider Identifier
1497199939
Registry record updated Apr 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS28283 Issued in CA
Practice address
1190 S Bascom Ave
Suite # 139
San Jose, CA 95128-3545
Phone
(510) 573-3143
Fax
(510) 573-3143
NPI assigned
Apr 27, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2013

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 LCS28283 CA Primary

Addresses

Primary practice location

1190 S Bascom Ave
Suite # 139
San Jose, CA 95128-3545

Mailing address

125 Telles LN
Fremont, CA 94539-5406
Phone (510) 573-3143

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
I20160321001793 CA Practitioner - Clinical Social Worker 8224335161 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS28283CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda County Current Accepting new patients
Alameda County CurrentSince Feb 15, 2025 Accepting new patients

Locations

2045 Fairmont Dr
Castro Valley, CA 94578
Phone (510) 667-7500

409 Jackson St
Ste 100
Hayward, CA 94544
Phone (510) 383-5103

7200 Bancroft Ave
Ste 125A
Oakland, CA 94605
Phone (510) 777-3800

3730 Hopyard Rd
Ste 103
Pleasanton, CA 94588
Phone (925) 462-3010

Organizations & group practices 2

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": "1367020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367020800000",
    "number": "1497199939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 TELLES LN",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945395406",
            "telephone_number": "510-573-3143",
            "fax_number": "510-573-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 S BASCOM AVE",
            "address_2": "SUITE # 139",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283545",
            "telephone_number": "510-573-3143",
            "fax_number": "510-573-3143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEGDE",
        "first_name": "NANDITA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-27",
        "last_updated": "2013-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS28283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.