Queen Adu-Poku, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

25265 Issued in CA

Practice address

2810 Lone Tree Way Ste 9
Antioch, CA 94509-4956

Phone

(926) 628-9948

Fax

(925) 521-8715

NPI assigned

Sep 24, 2009

Last updated

Jan 24, 2020By the provider in NPPES

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Queen Adu-Poku Licensed Clinical Social Worker PC

  dba Royal Emotional Care

  • Clinical Social Worker
  • Antioch, CA
  • NPI 1912596933
  Medicare reassignment NPD Authorized official
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299
  Medicare reassignment NPD
• Kumasicali

  • Developmentally Disabled Services Day Training Agency
  • Antioch, CA
  • NPI 1720994049
  NPD (past) Authorized official
• Permanente Medical Group, Inc

  • Clinical Medical Laboratory
  • San Jose, CA
  • NPI 1497971584
  NPD

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1700110657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2911",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945312911",
            "telephone_number": "925-642-1218",
            "fax_number": "925-521-8715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 LONE TREE WAY STE 9",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945094956",
            "telephone_number": "926-628-9948",
            "fax_number": "925-521-8715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADU-POKU",
        "first_name": "QUEEN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-24",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "25265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adebowale O Adedeji
• Chikanma Phebian Adelaiye
• Adedotun A Adewusi, MD
• Susan Lyla Adham, M.D
• Sade Monique Adona
• Janel Afanador
• Kizito Azuka Agboma
• Atul Agrawal, MD
• Danielle Aguiar
• Glicelda Aguila, MSW

• Clinical Social Worker in Antioch, CA
• Providers in Antioch, 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 Jan 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.