Individual provider Active NPI

Julio Cesar Lagos, L.C.S.W., M.S.W.

  • Clinical Social Worker
  • San Francisco, CA
National Provider Identifier
1629106141
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW 29172 Issued in CA
Practice address
3150 18TH St
Mbox #202
San Francisco, CA 94110-2074
Phone
(415) 562-4156
NPI assigned
Feb 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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 LCSW 29172 CA Primary

Addresses

Primary practice location

3150 18TH St
Mbox #202
San Francisco, CA 94110-2074

Mailing address

3150 18TH St
Mbox #202
San Francisco, CA 94110-2074
Phone (415) 562-4156

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
I20150604000819 CA Practitioner - Clinical Social Worker 3577884410 Reassigns benefits to 2 organizations
Practice locations: San Francisco, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Patient Assistance FoundationGroup PAC ID 7911987078, 5 clinicians

Practice addresses (Care Compare)

2351 Clay St
Suite 141
San Francisco, CA 94115-1931
Phone (415) 923-3155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW 29172CAMDClinical Social Worker
29172CAMDLicensed Psychiatric Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Patient Assistance Foundation Clinical CurrentSince Feb 26, 2015 Accepting new patients
Kelli Clark Licensed Clinical Social Worker Professional Corporation Clinical CurrentSince Sep 4, 2022 Accepting new patients
Social Work Support, Inc. Current Accepting new patients
Sutter Bay Hospitals Past Accepting new patients

Locations

2333 Buchanan St
Ste 1090
San Francisco, CA 94115
Phone (415) 923-3155

3150 18th St
Ste 350
San Francisco, CA 94110
Phone (415) 562-4156

2351 Clay St
Ste 141
San Francisco, CA 94115
Phone (415) 600-1242

3150 18th St
Ste 202
San Francisco, CA 94110
Phone (415) 562-4156

Interoperability endpoints

  • Direct secure messaging: julio.lagos.2@23572.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1629106141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 18TH ST",
            "address_2": "MBOX #202",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941102074",
            "telephone_number": "415-562-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 18TH ST",
            "address_2": "MBOX #202",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941102074",
            "telephone_number": "415-562-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGOS",
        "first_name": "JULIO",
        "middle_name": "CESAR",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W., M.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW 29172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.