Active NPI
Jacqueline Ong
- Clinical Social Worker
- Oakland, CA
National Provider Identifier
1649930082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 86543
- Practice address
- 5349 College Ave
Oakland, CA 94618-1416 - Phone
- (510) 658-0275
- NPI assigned
- Dec 27, 2021
- Last updated
- Jul 7, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 | 86543 | CA | Primary |
Addresses
Primary practice location
5349 College Ave
Oakland, CA 94618-1416
Mailing address
4096 Piedmont Ave Ste 508
Oakland, CA 94611-5221
Phone (510) 658-0275
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 16, 2024 through Feb 16, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86543 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783382400000",
"number": "1649930082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4096 PIEDMONT AVE STE 508",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946115221",
"telephone_number": "510-658-0275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5349 COLLEGE AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946181416",
"telephone_number": "510-658-0275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONG",
"first_name": "JACQUELINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-27",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "86543",
"primary": true
}
],
"identifiers": [],
"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 Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.