Active NPI
Healing Within, a Licensed Clinical Social Worker Corporation
- Community/Behavioral Health Agency
- Newark, CA
National Provider Identifier
1609433002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cynthia Fong, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | cfonglcsw@gmail.com |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Richmond, CA
- NPI 1194902270
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.