Michaella M Conteh

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

100208 Issued in CA

Practice address

2810 Lone Tree Way Ste 9
Antioch, CA 94509-4956

Phone

(925) 642-1218

NPI assigned

Sep 26, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Michaella M Coker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Queen Adu-Poku Licensed Clinical Social Worker PC

  • Clinical Social Worker
  • Antioch, CA
  • NPI 1912596933
  NPD

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1609203306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 LONE TREE WAY STE 9",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945094956",
            "telephone_number": "925-642-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 LONE TREE WAY STE 9",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945094956",
            "telephone_number": "925-642-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTEH",
        "first_name": "MICHAELLA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-26",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "100208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAELLA",
            "last_name": "COKER",
            "middle_name": "M",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Donna Marie Conner Cassidy, RN
• Jessica Conroy
• Leonard Michael Conry
• Honora Rachel Considine Cortelyou, M.D.
• Consonus Healthcare
• Contra Costa County
• Contra Costa County
• Contra Costa County
• Contra Costa County
• Contra Costa Industrial Medicine Clinic

• Clinical Social Worker in Antioch, CA
• Providers in Antioch, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.