Active NPI
Wendy Everard
- Social Worker
- Alameda, CA
National Provider Identifier
1538379987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 11723
- Practice address
- 1429 Oak St
Alameda, CA 94501-4568 - Phone
- (510) 522-4668
- Fax
- (510) 567-8181
- NPI assigned
- May 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 11723 | CA | Primary |
Addresses
Primary practice location
1429 Oak St
Alameda, CA 94501-4568
Mailing address
456 Taylor Ave Apt B
Alameda, CA 94501-3793
Phone (510) 522-6750
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11723 | Other | CA | ASW |
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 |
|---|---|---|---|
| 11723 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Alameda | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Oakland, CA
- NPI 1881632867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1538379987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "456 TAYLOR AVE APT B",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945013793",
"telephone_number": "510-522-6750",
"fax_number": "510-567-8181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1429 OAK ST",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945014568",
"telephone_number": "510-522-4668",
"fax_number": "510-567-8181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVERARD",
"first_name": "WENDY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "11723",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASW",
"identifier": "11723",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Alameda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.