Christine Elizabeth McCord, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

21263 Issued in CA

Practice address

525 Oregon St
Vallejo, CA 94590-3201

Phone

(415) 847-8274

NPI assigned

May 29, 2020

Last updated

May 29, 2020By the provider in NPPES

Sex

Female

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

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

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

County of MarinGroup PAC ID 1153225065, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• County of Marin

  • Community/Behavioral Health Agency
  • San Rafael, CA
  • NPI 1912116252
  Medicare reassignment Care Compare group NPD
• County of Marin

  • Adolescent and Children Mental Health Clinic/Center
  • San Rafael, CA
  • NPI 1366507295
  NPD

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1518581289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 OREGON ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945903201",
            "telephone_number": "415-847-8274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 OREGON ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945903201",
            "telephone_number": "415-847-8274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORD",
        "first_name": "CHRISTINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-29",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "21263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Darlene McCarver, PSY.D.
• Marquetta McCleod, LMFT
• Scarlet Ophelia McClure, MD
• Ryan McCombs
• Joanne Margaret McConlogue, MS PT
• Gail F McDonald
• Jaden Taylor McDonald
• Marika Leandra McDonald, CBD, CBE
• Valorie McDonald, DPT
• Jeann McDougald

• Social Worker in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.