Active NPI
John C. Tighe, LCSW
- Clinical Social Worker
- San Francisco, CA
National Provider Identifier
1558450866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW 21104
- 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, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW 21104 | CA | MD | Clinical Social Worker |
| 21104 | CA | MD | Dentist |
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.