Individual provider Active NPI

Cheyenne Devon Lofthouse-Wolf

  • Clinical Social Worker
  • Antioch, CA
National Provider Identifier
1659844983
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
137320 Issued in CA
Practice address
3727 Sunset LN
Antioch, CA 94509-6134
Phone
(925) 753-2156
NPI assigned
Jan 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 137320 CA Primary
Social Worker 104100000X
Clinical Social Worker 1041C0700X
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

3727 Sunset LN
Antioch, CA 94509-6134

Mailing address

3727 Sunset LN
Antioch, CA 94509-6134
Phone (925) 753-2156

Other practice location 1

1200 Concord Ave Ste 450
Concord, CA 94520-4959
Phone (925) 933-2627

Other practice location 2

2275 Arlington Dr
San Leandro, CA 94578-1132
Phone (510) 317-1444

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260519001696 CA Practitioner - Clinical Social Worker 1456820570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Youth Homes, Inc. CurrentSince Mar 1, 2023 Accepting new patients
Healthy Mind World CurrentSince Mar 24, 2025 Accepting new patients

Locations

1200 Concord Ave
Ste 450
Concord, CA 94520
Phone (925) 286-5684

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1659844983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3727 SUNSET LN",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945096134",
            "telephone_number": "925-753-2156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3727 SUNSET LN",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945096134",
            "telephone_number": "925-753-2156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Concord Ave Ste 450",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "CA",
            "postal_code": "945204959",
            "country_code": "US",
            "telephone_number": "925-933-2627",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2275 Arlington Dr",
            "address_purpose": "LOCATION",
            "city": "San Leandro",
            "state": "CA",
            "postal_code": "945781132",
            "country_code": "US",
            "telephone_number": "510-317-1444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOFTHOUSE-WOLF",
        "first_name": "CHEYENNE",
        "middle_name": "DEVON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-09",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "137320",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, CA

Sources for this page

Verify at the official NPI Registry.