Organization Active NPI

Healing Within, a Licensed Clinical Social Worker Corporation

  • Community/Behavioral Health Agency
  • Newark, CA
National Provider Identifier
1609433002
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HEALING WITHIN, A LICENSED CLINICAL SOCIAL WORKER CORPORATION
Practice address
39899 Balentine Dr Ste 200
Newark, CA 94560-5361
Phone
(888) 983-1682
NPI assigned
May 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Authorized official

Name
Cynthia Fong, LCSWNPI 1194902270
Title
Owner/President
Phone
(888) 983-1682

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

39899 Balentine Dr Ste 200
Newark, CA 94560-5361

Mailing address

39899 Balentine Dr Ste 200
Newark, CA 94560-5361

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL cfonglcsw@gmail.com

National Provider Directory

National Provider Directory

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": "1558483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565568000000",
    "number": "1609433002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39899 BALENTINE DR STE 200",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945605361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39899 BALENTINE DR STE 200",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945605361",
            "telephone_number": "888-983-1682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING WITHIN, A LICENSED CLINICAL SOCIAL WORKER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-08-12",
        "status": "A",
        "authorized_official_last_name": "FONG",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "888-983-1682",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "cfonglcsw@gmail.com",
            "affiliation": "N",
            "address_1": "39899 Balentine Dr Ste 200",
            "city": "Newark",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945605361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newark, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.