Organization Active NPI

Social Work Support, Inc.

  • Community/Behavioral Health Agency
  • Stockton, CA
National Provider Identifier
1538812920
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SOCIAL WORK SUPPORT, INC.
Practice address
343 E Main St Ste 919a
Stockton, CA 95202-2932
Phone
(415) 562-6056
Fax
(415) 952-9565
NPI assigned
Jan 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Authorized official

Name
Brenda Cordova
Title
Executive Director
Phone
(415) 562-6056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

343 E Main St Ste 919a
Stockton, CA 95202-2932

Mailing address

343 E Main St Ste 919a
Stockton, CA 95202-2932
Phone (415) 562-6056

National Provider Directory

National Provider Directory

Locations

343 E Main St
Ste 919A
Stockton, CA 95202
Phone (415) 562-6056

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1538812920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 E MAIN ST STE 919A",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952022932",
            "telephone_number": "415-562-6056",
            "fax_number": "415-952-9565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 E MAIN ST STE 919A",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952022932",
            "telephone_number": "415-562-6056",
            "fax_number": "415-952-9565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIAL WORK SUPPORT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "CORDOVA",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "415-562-6056"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.