Michelle Loren La Place-Watts

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

100296 Issued in CA

Practice address

3527 68TH Ave Apt 1
Oakland, CA 94605-2188

Phone

(510) 715-6667

NPI assigned

Aug 27, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Adeii Health Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sacramento, CA
  • NPI 1801674999
  Medicare reassignment NPD

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1649427154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3527 68TH AVE APT 1",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946052188",
            "telephone_number": "510-715-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3527 68TH AVE APT 1",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946052188",
            "telephone_number": "510-715-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA PLACE-WATTS",
        "first_name": "MICHELLE",
        "middle_name": "LOREN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-27",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "100296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "shellylmft1957@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Therapy",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Individual and Family Therapy",
            "address_1": "3527 68th Ave Apt 1",
            "city": "Oakland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "946052188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• La Clinica de la Raza, Inc.
• La Clinica de la Raza, Inc.
• La Familia Counseling Service
• La Loma Medical Office, Inc.
• Simone Marie La Pay, MFT
• Lauren Amanda La Plante, LEP, PPSC, NCSP
• Joanna La Torre, MSW
• Cam Mi La
• Chunyan La, A.C.
• Kevin La

• Clinical Social Worker in Oakland, CA
• Providers in Oakland, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.