Active NPI
Emily Aviles, LCSW
- Clinical Social Worker
- San Francisco, CA
National Provider Identifier
1699170522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 92880
- Practice address
- 110 Gough St
San Francisco, CA 94102-5945 - Phone
- (415) 861-5449
- NPI assigned
- Nov 4, 2014
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 68685 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Counselor | 101Y00000X | 68685 | CA | |
| Clinical Social Worker | 1041C0700X | 92880 | CA | Primary |
Addresses
Primary practice location
110 Gough St
San Francisco, CA 94102-5945
Mailing address
PO Box 64078
San Francisco, CA 94164
Phone (520) 609-6823
Other practice location 1
2919 Mission St
San Francisco, CA 94110-3917
Phone (415) 229-0500
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 |
|---|---|---|---|
| 92880 | CA | MD | Clinical Social Worker |
| 68685 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617580800000",
"number": "1699170522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64078",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94164",
"telephone_number": "520-609-6823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 GOUGH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941025945",
"telephone_number": "415-861-5449"
}
],
"practiceLocations": [
{
"address_1": "2919 Mission St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941103917",
"country_code": "US",
"telephone_number": "415-229-0500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AVILES",
"first_name": "EMILY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-04",
"last_updated": "2021-04-05",
"certification_date": "2021-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "68685",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "68685",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "92880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.