Active NPI
Rita G Clancy, LCSW
- Social Worker
- Walnut Creek, CA
National Provider Identifier
1598051823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 27229
- Practice address
- 1855 Olympic Blvd Ste 200
Walnut Creek, CA 94596-5007 - Phone
- (925) 927-2000
- Fax
- (925) 927-3131
- NPI assigned
- Jun 24, 2011
- Last updated
- Jun 24, 2011
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 27229 | CA | Primary |
Addresses
Primary practice location
1855 Olympic Blvd Ste 200
Walnut Creek, CA 94596-5007
Mailing address
2549 Montreux St
Danville, CA 94506-1965
Phone (925) 639-5490
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 |
|---|---|---|---|
| 27229 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308873600000",
"number": "1598051823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2549 MONTREUX ST",
"city": "DANVILLE",
"state": "CA",
"postal_code": "945061965",
"telephone_number": "925-639-5490",
"fax_number": "925-927-3131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1855 OLYMPIC BLVD STE 200",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945965007",
"telephone_number": "925-927-2000",
"fax_number": "925-927-3131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLANCY",
"first_name": "RITA",
"middle_name": "G",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-24",
"last_updated": "2011-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "27229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.