Individual provider Active NPI

Sarith Thlang, LCSW

  • Clinical Social Worker
  • San Jose, CA
National Provider Identifier
1629193115
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 21533 Issued in CA
Practice address
840 Guadalupe Pkwy
San Jose, CA 95110-1714
Phone
(408) 299-3166
Fax
(408) 971-2651
NPI assigned
Mar 21, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LCS 21533 CA Primary

Addresses

Primary practice location

840 Guadalupe Pkwy
San Jose, CA 95110-1714

Mailing address

10150 Ornella Dr
Stockton, CA 95212-2747
Phone (510) 220-7181

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 21533CAMDClinical Social Worker
21533CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health for Asian Americans Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629193115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10150 ORNELLA DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952122747",
            "telephone_number": "510-220-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 GUADALUPE PKWY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951101714",
            "telephone_number": "408-299-3166",
            "fax_number": "408-971-2651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THLANG",
        "first_name": "SARITH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 21533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.