Wellness Source Psychotherapy and Consulting, a Licensed Clinical Social Worker Corporation

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WELLNESS SOURCE PSYCHOTHERAPY AND CONSULTING, A LICENSED CLINICAL SOCIAL WORKER CORPORATION

Practice address

1918 Bonita Ave 2ND FL
Berkeley, CA 94704

Phone

(510) 826-3150

NPI assigned

May 12, 2026

Organization subpart

No

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

Authorized official

Name

Mr. Omar Anthony Bocobo, LCSWNPI 1124069802

Title

President/Owner

Phone

(510) 826-3150

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Omar Anthony Bocobo, LCSW

  • Clinical Social Worker
  • Oakland, CA
  • NPI 1124069802
  NPD Authorized official

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

{
    "created_epoch": "1778544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1508794207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 DOMINGO AVE # 1167",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052454",
            "telephone_number": "510-826-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 BONITA AVE 2ND FL",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "94704",
            "telephone_number": "510-826-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS SOURCE PSYCHOTHERAPY AND CONSULTING, A LICENSED CLINICAL SOCIAL WORKER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-12",
        "last_updated": "2026-05-12",
        "certification_date": "2026-04-03",
        "status": "A",
        "authorized_official_last_name": "BOCOBO",
        "authorized_official_first_name": "OMAR",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "510-826-3150",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Weiss, MD
• Jessica Weiss
• Orit Weksler, MFT
• Brianna Weller, NP
• Wellness of Mind Psychotherapy PC
• Sharon Wells, MFT
• Joanne T Wemmer, PHARM.D.
• Crystal Wang Wen, OD
• Marcus Andrew Wen, MD
• Brian Wenger

• Clinical Social Worker in Berkeley, CA
• Providers in Berkeley, 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, 2026; 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.