Active NPI
Rachel Wilson, LCSW82043
- Clinical Social Worker
- San Francisco, CA
National Provider Identifier
1508169517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW82043
- Practice address
- 2513 24TH St
San Francisco, CA 94110-3556 - Phone
- (415) 416-9234
- NPI assigned
- Dec 13, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Social Worker | 104100000X | ASW63403 | CA | |
| Clinical Social Worker | 1041C0700X | LCSW82043 | CA | Primary |
Addresses
Primary practice location
2513 24TH St
San Francisco, CA 94110-3556
Mailing address
3228 Linden St
Oakland, CA 94608-4229
Phone (630) 853-0467
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW63403 | CA | MD | Social Worker |
| LCSW82043 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525996800000",
"number": "1508169517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3228 LINDEN ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946084229",
"telephone_number": "630-853-0467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2513 24TH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941103556",
"telephone_number": "415-416-9234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "RACHEL",
"credential": "LCSW82043",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-13",
"last_updated": "2018-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW63403",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW82043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.