Holly St James

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

128206 Issued in CA

Practice address

920 66TH Ave Apt 206
Oakland, CA 94621-3162

Phone

(510) 967-5395

Fax

(341) 800-4061

NPI assigned

Jan 16, 2025

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1736985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1669283974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 66TH AVE APT 206",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946213162",
            "telephone_number": "510-967-5395",
            "fax_number": "341-800-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 66TH AVE APT 206",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946213162",
            "telephone_number": "510-967-5395",
            "fax_number": "341-800-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST JAMES",
        "first_name": "HOLLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "128206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shivani Srivastav
• Neha Srivastava
• SSC Oakland Excell Operating Company LP (Excell Health Care Center)
• SSC Oakland Fruitvale Operating Company LP (Fruitvale Healthcare Center)
• Anna Nansamba Ssensalo, OTR/L
• Matilda Ann St John, MFT
• Rachel St Julian
• Carla C St Juste, M.S.W.,
• Mark A. St. Lezin, MD
• St. Mary's Center

• Clinical Social Worker in Oakland, CA
• Providers in Oakland, 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 Feb 4, 2025; 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.