Active NPI
Dorys Balcazar, MSW, ASW
- Counselor
- San Francisco, CA
National Provider Identifier
1619179926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 3905 Mission St
San Francisco, CA 94112-1014 - Phone
- (415) 337-2403
- Fax
- (415) 337-2415
- NPI assigned
- May 31, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ASW 14840 | CA | |
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
3905 Mission St
San Francisco, CA 94112-1014
Mailing address
3905 Mission St
San Francisco, CA 94112-1014
Phone (415) 337-2403
Other names 1
- Ms. Dora Balcazar
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW 14840 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City & County of San Francisco | Past | Accepting new patients | |
| City and County of San Francisco | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Francisco, CA
- NPI 1639272008
-
- Methadone Clinic
- San Francisco, CA
- NPI 1578787925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461888000000",
"number": "1619179926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3905 MISSION ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941121014",
"telephone_number": "415-337-2403",
"fax_number": "415-337-2415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3905 MISSION ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941121014",
"telephone_number": "415-337-2403",
"fax_number": "415-337-2415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALCAZAR",
"first_name": "DORYS",
"name_prefix": "Ms.",
"credential": "MSW, ASW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-31",
"last_updated": "2016-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW 14840",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DORA",
"last_name": "BALCAZAR",
"prefix": "MS.",
"credential": "MSW, ASW",
"code": "5",
"type": "Other Name"
}
]
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.