Individual provider Active NPI

Alice P. Wu-Cardona, LCSW

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1538569538
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
93432 Issued in CA
Practice address
8715 Blue Lake Dr
San Diego, CA 92119-3512
Phone
(619) 759-6166
NPI assigned
Aug 26, 2014
Last updated
Nov 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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 93432 CA Primary

Addresses

Primary practice location

8715 Blue Lake Dr
San Diego, CA 92119-3512

Mailing address

4231 Balboa Ave # 553
San Diego, CA 92117-5504
Phone (619) 759-6166

Other practice location 1

383 Rhode Island St Ste 201
San Francisco, CA 94103-5185
Phone (415) 952-0290

Other practice location 2

433 Callan Ave Ste 309
San Leandro, CA 94577-4641
Phone (650) 246-9849

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alice@onelifetherapy.org

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

LicenseStateTypeSpecialty
93432CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Johansson Yarbrough Marriage and Family Therapy Corporation Current Accepting new patients

Locations

383 Rhode Island St
Ste 201
San Francisco, CA 94103
Phone (415) 322-9572

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1538569538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4231 BALBOA AVE # 553",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921175504",
            "telephone_number": "619-759-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8715 BLUE LAKE DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921193512",
            "telephone_number": "619-759-6166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "383 Rhode Island St Ste 201",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941035185",
            "country_code": "US",
            "telephone_number": "415-952-0290",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "433 Callan Ave Ste 309",
            "address_purpose": "LOCATION",
            "city": "San Leandro",
            "state": "CA",
            "postal_code": "945774641",
            "country_code": "US",
            "telephone_number": "650-246-9849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WU-CARDONA",
        "first_name": "ALICE",
        "middle_name": "P.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-26",
        "last_updated": "2021-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "93432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alice@onelifetherapy.org",
            "affiliation": "N",
            "address_1": "8715 Blue Lake Dr",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921193512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.