NPIMap

Organization Active NPI

Lincoln

  • Community/Behavioral Health Agency
  • Antioch, CA
National Provider Identifier
1609357904
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LINCOLN
Practice address
1931 Mokelumne Dr
Antioch, CA 94531-9129
Phone
(925) 779-7480
Fax
(925) 779-7481
NPI assigned
Aug 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Authorized official

Name
Ms. Allison Staulcup Becwar, LCSW
Title
Chief Executive Officer
Phone
(510) 273-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1931 Mokelumne Dr
Antioch, CA 94531-9129

Mailing address

150 Linden St
Oakland, CA 94607-2538
Phone (510) 273-4700

Other names 1

  • HOPE CC Lone Tree Elementary Other name

National Provider Directory

National Provider Directory
Tax ID family
Lincoln47 organizations share this tax ID, including this one

Other organizations with this tax ID 46

Organizations that report the same tax identification number in the National Provider Directory.

View all 46

Locations

1931 Mokelumne Dr
Antioch, CA 94531
Phone (925) 779-7480

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1609357904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 LINDEN ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946072538",
            "telephone_number": "510-273-4700",
            "fax_number": "510-530-8083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 MOKELUMNE DR",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945319129",
            "telephone_number": "925-779-7480",
            "fax_number": "925-779-7481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-24",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "STAULCUP BECWAR",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "510-273-4700",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOPE CC Lone Tree Elementary",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "HOPE CC Lone Tree Elementary",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.