Active NPI
Clara P Afawubo, ASW
- Clinical Social Worker
- Sacramento, CA
National Provider Identifier
1619517232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ASW78211
- Practice address
- 900 Fulton Ave Ste 205
Sacramento, CA 95825-4517 - Phone
- (916) 484-3570
- Fax
- (916) 484-3577
- NPI assigned
- Jan 11, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ASW78211 | CA | Primary |
Addresses
Primary practice location
900 Fulton Ave Ste 205
Sacramento, CA 95825-4517
Mailing address
1201 N Sutter St
Stockton, CA 95202-1506
Phone (209) 855-1006
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 |
|---|---|---|---|
| ASW78211 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Juliet Acolatse | Current | Accepting new patients |
Locations
1201 N Sutter St
Stockton, CA 95202
Phone (209) 855-1006
Organizations & group practices 1
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.
-
- Psychologist
- Stockton, CA
- NPI 1801445929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684368000000",
"number": "1619517232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 N SUTTER ST",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952021506",
"telephone_number": "209-855-1006",
"fax_number": "209-408-1160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 FULTON AVE STE 205",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958254517",
"telephone_number": "916-484-3570",
"fax_number": "916-484-3577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AFAWUBO",
"first_name": "CLARA",
"middle_name": "P",
"credential": "ASW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-11",
"last_updated": "2023-05-18",
"certification_date": "2023-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW78211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.