Individual provider Active NPI

Virginia Harper Harrison, LCSW

  • Clinical Social Worker
  • Oakland, CA
National Provider Identifier
1619995891
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS3608 Issued in CA
Practice address
4283 Piedmont Ave
Suite E-8
Oakland, CA 94611-4713
Phone
(925) 253-9480
Fax
(925) 253-9480
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS3608 CA Primary

Addresses

Primary practice location

4283 Piedmont Ave
Suite E-8
Oakland, CA 94611-4713

Mailing address

4283 Piedmont Ave
Suite E-8
Oakland, CA 94611-4713
Phone (925) 253-9480

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ48614ZOtherCABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051012001237 CA Practitioner - Clinical Social Worker 3577588185 Practice locations: Oakland, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4283 Piedmont Ave
Oakland, CA 94611-4764
Phone (925) 253-9480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS3608CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199923200000",
    "number": "1619995891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4283 PIEDMONT AVE",
            "address_2": "SUITE E-8",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946114713",
            "telephone_number": "925-253-9480",
            "fax_number": "925-253-9480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4283 PIEDMONT AVE",
            "address_2": "SUITE E-8",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946114713",
            "telephone_number": "925-253-9480",
            "fax_number": "925-253-9480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "VIRGINIA",
        "middle_name": "HARPER",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2008-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS3608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ48614Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.