Active NPI
Victoria C Fleming, LCSW
- Clinical Social Worker
- Oakland, CA
National Provider Identifier
1639295348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 28404
- Practice address
- 6333 Telegraph Ave
Suite 102
Oakland, CA 94609-1359 - Phone
- (510) 923-1099
- NPI assigned
- Mar 22, 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 |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| Clinical Social Worker | 1041C0700X | 28404 | CA | Primary |
Addresses
Primary practice location
6333 Telegraph Ave
Suite 102
Oakland, CA 94609-1359
Mailing address
6333 Telegraph Ave
Suite 102
Oakland, CA 94609-1359
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639295348 | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28404 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605830400000",
"number": "1639295348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6333 TELEGRAPH AVE",
"address_2": "SUITE 102",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946091359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6333 TELEGRAPH AVE",
"address_2": "SUITE 102",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946091359",
"telephone_number": "510-923-1099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEMING",
"first_name": "VICTORIA",
"middle_name": "C",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2020-11-20",
"certification_date": "2020-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "28404",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1639295348",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.