Individual provider Active NPI

Maura E Uyeda

  • Clinical Social Worker
  • Sunnyvale, CA
National Provider Identifier
1669018412
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW89671 Issued in CA
Practice address
1307 S Mary Ave Ste 250
Sunnyvale, CA 94087-3071
Phone
(650) 618-6434
Fax
(650) 618-6434
NPI assigned
Nov 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW89671 CA Primary

Addresses

Primary practice location

1307 S Mary Ave Ste 250
Sunnyvale, CA 94087-3071

Mailing address

1525 Miramonte Ave Unit 3644
Los Altos, CA 94024-9025
Phone (650) 618-6434

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address therapy@sfbaytherapygroup.com

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

LicenseStateTypeSpecialty
LCSW89671CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1669018412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 MIRAMONTE AVE UNIT 3644",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940249025",
            "telephone_number": "650-618-6434",
            "fax_number": "650-618-6434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 S MARY AVE STE 250",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940873071",
            "telephone_number": "650-618-6434",
            "fax_number": "650-618-6434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UYEDA",
        "first_name": "MAURA",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-26",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW89671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "therapy@sfbaytherapygroup.com",
            "affiliation": "N",
            "address_1": "1307 S Mary Ave Ste 250",
            "city": "Sunnyvale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940873071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.