Individual provider Active NPI

John C. Tighe, LCSW

  • Clinical Social Worker
  • San Francisco, CA
National Provider Identifier
1558450866
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW 21104 Issued in CA
Practice address
500 Parnassus Ave
Level P8, RM 005
San Francisco, CA 94143-0722
Phone
(415) 502-2516
NPI assigned
Oct 12, 2006
Last updated
Feb 4, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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 LCSW 21104 CA Primary

Addresses

Primary practice location

500 Parnassus Ave
Level P8, RM 005
San Francisco, CA 94143-0722

Mailing address

UCSF Student Health and Counseling Services
500 Parnassus Ave., Level P8, RM. 005
San Francisco, CA 94143-0722
Phone (415) 864-8451

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW 21104CAMDClinical Social Worker
21104CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391472000000",
    "number": "1558450866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UCSF STUDENT HEALTH AND COUNSELING SERVICES",
            "address_2": "500 PARNASSUS AVE., LEVEL P8, RM. 005",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430722",
            "telephone_number": "415-864-8451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PARNASSUS AVE",
            "address_2": "LEVEL P8, RM 005",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430722",
            "telephone_number": "415-502-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIGHE",
        "first_name": "JOHN",
        "middle_name": "C.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2014-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW 21104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.