Active NPI
Family Service Agency of San Mateo County
- Clinical Social Worker
- Redwood City, CA
National Provider Identifier
1669406815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW
- Legal business name
- FAMILY SERVICE AGENCY OF SAN MATEO COUNTY
- Practice address
- 2600 Middlefield Rd
Redwood City, CA 94063-3402 - Phone
- (650) 780-7541
- Fax
- (650) 701-0856
- NPI assigned
- Jul 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Laurie Wishard, MSW
- Title
- Agency President
- Phone
- (650) 403-4300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW | CA | Primary |
Addresses
Primary practice location
2600 Middlefield Rd
Redwood City, CA 94063-3402
Mailing address
24 2ND Ave
San Mateo, CA 94401-3828
Phone (650) 403-4300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ398386507010856 | Other | CA | UNSURE |
National Provider Directory
National Provider Directory- Tax ID family
- Family Service Agency of San Mateo County
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Social Worker
- San Mateo, CA
- NPI 1447423637
Locations
2600 Middlefield Rd
Redwood City, CA 94063
Phone (650) 780-7541
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Technician
- San Mateo, CA
- NPI 1790613222
-
- Clinical Psychologist
- Burlingame, CA
- NPI 1508872078
-
- Clinical Social Worker
- San Jose, CA
- NPI 1730107871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1669406815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 2ND AVE",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944013828",
"telephone_number": "650-403-4300",
"fax_number": "650-403-4305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 MIDDLEFIELD RD",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940633402",
"telephone_number": "650-780-7541",
"fax_number": "650-701-0856"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY SERVICE AGENCY OF SAN MATEO COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WISHARD",
"authorized_official_first_name": "LAURIE",
"authorized_official_title_or_position": "AGENCY PRESIDENT",
"authorized_official_telephone_number": "650-403-4300",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNSURE",
"identifier": "ZZZ398386507010856",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Redwood City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.