Active NPI
Pauline Joan Wakeham, LCSW
- Clinical Social Worker
- San Francisco, CA
National Provider Identifier
1699838813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS19528
- Practice address
- 801 Portola Dr Ste 207
San Francisco, CA 94127-1234 - Phone
- (510) 377-1082
- NPI assigned
- Dec 18, 2006
- Last updated
- Jan 13, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS19528 | CA | Primary |
Addresses
Primary practice location
801 Portola Dr Ste 207
San Francisco, CA 94127-1234
Mailing address
PO Box 357
Pacifica, CA 94044-0357
Phone (510) 377-1082
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS19528 | CA | MD | Clinical Social Worker |
| 19528 | CA | MD | Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768262400000",
"number": "1699838813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 357",
"city": "PACIFICA",
"state": "CA",
"postal_code": "940440357",
"telephone_number": "510-377-1082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 PORTOLA DR STE 207",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941271234",
"telephone_number": "510-377-1082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAKEHAM",
"first_name": "PAULINE",
"middle_name": "JOAN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2026-01-13",
"certification_date": "2026-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS19528",
"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 Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.