Active NPI
Miranda K Li, LCSW
- Clinical Social Worker
- Oakland, CA
National Provider Identifier
1578624680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS10811
- Practice address
- 280 West Macarthur Boulevard
Mosswood 4TH Floor
Oakland, CA 94611-5642 - Phone
- (510) 752-1473
- Fax
- (510) 752-1404
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- No
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 | LCS10811 | CA | Primary |
Addresses
Primary practice location
280 West Macarthur Boulevard
Mosswood 4TH Floor
Oakland, CA 94611-5642
Mailing address
Kaiser Permanente
280 West Macarthur Boulevard
Oakland, CA 94611
Phone (510) 752-1473
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LCS 10811 | Other | CA | LICENSED CLINICAL SW |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCS10811 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1578624680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "KAISER PERMANENTE",
"address_2": "280 WEST MACARTHUR BOULEVARD",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94611",
"telephone_number": "510-752-1473",
"fax_number": "510-752-1404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 WEST MACARTHUR BOULEVARD",
"address_2": "MOSSWOOD 4TH FLOOR",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946115642",
"telephone_number": "510-752-1473",
"fax_number": "510-752-1404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LI",
"first_name": "MIRANDA",
"middle_name": "K",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS10811",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED CLINICAL SW",
"identifier": "LCS 10811",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.