Active NPI
Nathalie Servin, LCSW
- Clinical Social Worker
- San Francisco, CA
National Provider Identifier
1649538547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 95921
- Practice address
- 1405 Van Ness Ave Apt 404
San Francisco, CA 94109-4646 - Phone
- (831) 334-5907
- NPI assigned
- Apr 27, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 95921 | CA | Primary |
Addresses
Primary practice location
1405 Van Ness Ave Apt 404
San Francisco, CA 94109-4646
Mailing address
1405 Van Ness Ave Apt 404
San Francisco, CA 94109-4646
Phone (831) 334-5907
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ918892Z | Other | CA | SANTA CRUZ COUNTY MEDICARE GROUP PTNA# |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95921 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639440000000",
"number": "1649538547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 VAN NESS AVE APT 404",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941094646",
"telephone_number": "831-334-5907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 VAN NESS AVE APT 404",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941094646",
"telephone_number": "831-334-5907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERVIN",
"first_name": "NATHALIE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-27",
"last_updated": "2021-12-14",
"certification_date": "2021-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "95921",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SANTA CRUZ COUNTY MEDICARE GROUP PTNA#",
"identifier": "ZZZ918892Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.