Individual provider Active NPI

Wendy Fass Zastawney, LCSW

  • Clinical Social Worker
  • Fremont, CA
National Provider Identifier
1548461452
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 18773 Issued in CA
Practice address
39155 Liberty St Ste G710
#G-710
Fremont, CA 94538-1525
Phone
(510) 795-2434
Fax
(510) 793-3972
NPI assigned
May 29, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LCS 18773 CA Primary

Addresses

Primary practice location

39155 Liberty St Ste G710
#G-710
Fremont, CA 94538-1525

Mailing address

39155 Liberty St Ste G710
#G-710
Fremont, CA 94538-1525
Phone (510) 795-2434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101215000176 CA Practitioner - Clinical Social Worker 4880881911 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 18773CAMDClinical Social Worker
18773CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda County CurrentSince Apr 29, 2025 Accepting new patients

Locations

7200 Bancroft Ave
Ste 125A
Oakland, CA 94605
Phone (510) 777-3800

3730 Hopyard Rd
Ste 103
Pleasanton, CA 94588
Phone (925) 462-3010

Organizations & group practices 2

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": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548461452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39155 LIBERTY ST STE G710",
            "address_2": "#G-710",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381525",
            "telephone_number": "510-795-2434",
            "fax_number": "510-793-3972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39155 LIBERTY ST STE G710",
            "address_2": "#G-710",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381525",
            "telephone_number": "510-795-2434",
            "fax_number": "510-793-3972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZASTAWNEY",
        "first_name": "WENDY",
        "middle_name": "FASS",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 18773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.