Individual provider Active NPI

Angela Din, LCSW

  • Clinical Social Worker
  • Sacramento, CA
National Provider Identifier
1710431333
Registry record updated Aug 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS23197 Issued in CA
Practice address
949 University Ave Ste 200
Sacramento, CA 95825-6728
Phone
(916) 437-4681
NPI assigned
Aug 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS23197 CA Primary

Addresses

Primary practice location

949 University Ave Ste 200
Sacramento, CA 95825-6728

Mailing address

2001 Arena Dr
Davis, CA 95618-6754
Phone (530) 908-5987

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240916002910 CA Practitioner - Clinical Social Worker 4880135052 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS23197CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mark David Levine M.D. Professional Corporation Clinical Current Accepting new patients
Mark David Levine, M.D. Professional Corporation CurrentSince Aug 28, 2024 Accepting new patients
Mark David Levine, MD Burlingame PC CurrentSince Aug 28, 2024 Accepting new patients

Locations

1590 Drew Ave
Ste 200
Davis, CA 95618
Phone (530) 297-7500

3835 N Freeway Blvd
Ste 100
Sacramento, CA 95834
Phone (916) 576-7898

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470873600000",
    "number": "1710431333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 ARENA DR",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956186754",
            "telephone_number": "530-908-5987",
            "fax_number": "530-908-5987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 UNIVERSITY AVE STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256728",
            "telephone_number": "916-437-4681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIN",
        "first_name": "ANGELA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-11",
        "last_updated": "2016-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS23197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.