Nneka Wooten, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

86186 Issued in CA

Practice address

1271 Washington Avenue #727
It's Complicated Consultation Services
San Leandro, CA 94577-9457

Phone

(510) 829-9561

NPI assigned

Oct 10, 2016

Last updated

Nov 7, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• It's Complicated Consultation Services Inc.

  • Adult Mental Health Clinic/Center
  • Berkeley, CA
  • NPI 1821758046
  NPD Authorized official

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1649720061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1271 WASHINGTON AVE # 727",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945773646",
            "telephone_number": "510-829-9561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1271 WASHINGTON AVENUE #727",
            "address_2": "IT'S COMPLICATED CONSULTATION SERVICES",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945779457",
            "telephone_number": "510-829-9561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOTEN",
        "first_name": "NNEKA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-10",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "86186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quinci Sade Woods, LVN
• Shaneka Woods, CPT
• Therresa Woods
• Douglas Woodson Jr.
• Nina Simone Wooten
• Brandon Worden
• Danielle Worden
• Michael Antoinne Wortham
• Edward Kelly Wright
• James Clifford Wright, OD

• Clinical Social Worker in San Leandro, CA
• Providers in San Leandro, 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 Nov 7, 2018; 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.