Active NPI
Rachel Cloud-Holloway, M.S.W.
- Clinical Social Worker
- San Mateo, CA
National Provider Identifier
1669744736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 66437
- Practice address
- 2000 Alameda de Las Pulgas
San Mateo, CA 94403-1269 - Phone
- (650) 363-4000
- NPI assigned
- Feb 3, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 66437 | CA | Primary |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
2000 Alameda de Las Pulgas
San Mateo, CA 94403-1269
Mailing address
2484 Shattuck Ave
210
Berkeley, CA 94704-2076
Phone (510) 704-7475
Other practice location 1
205 39th St
Richmond, CA 94805-2212
Phone (510) 412-5930
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66437 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desarrollo Familiar, Inc | Mental Health | Past | Accepting new patients |
| Desarrollo Familiar | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Richmond, CA
- NPI 1376692459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554336000000",
"number": "1669744736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2484 SHATTUCK AVE",
"address_2": "210",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947042076",
"telephone_number": "510-704-7475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 ALAMEDA DE LAS PULGAS",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944031269",
"telephone_number": "650-363-4000"
}
],
"practiceLocations": [
{
"address_1": "205 39th St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "CA",
"postal_code": "948052212",
"country_code": "US",
"telephone_number": "510-412-5930",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLOUD-HOLLOWAY",
"first_name": "RACHEL",
"credential": "M.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-03",
"last_updated": "2019-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "66437",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.