Wendy Pham, LCSW, PPS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

77963 Issued in CA

Practice address

21201 Independent School Rd
Castro Valley, CA 94552-4826

Phone

(510) 537-9558

NPI assigned

Mar 8, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1730487257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 VANNOY AVE",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945462518",
            "telephone_number": "510-537-1832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21201 INDEPENDENT SCHOOL RD",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945524826",
            "telephone_number": "510-537-9558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5100 Vannoy Ave",
            "address_purpose": "LOCATION",
            "city": "Castro Valley",
            "state": "CA",
            "postal_code": "945462518",
            "country_code": "US",
            "telephone_number": "510-537-1832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "WENDY",
        "credential": "LCSW, PPS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-08",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "77963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIORAL HEALTH & SOCIAL SERVICES PROVIDERS",
            "identifier": "101Y00000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jarrett Antonio Percivalle
• Luciana Soares Pereira
• Peter Adamczyk, MD, Inc.
• Elizabeth Anne Peters, LVN - IV CERTIFIED
• Kate Pfeiffer
• Christina Phan, PA
• Danh Phan
• Katelyne CHI Phan, PHARMD
• Alice Philips, MFT
• Elizabeth Josephine Phillips, PA-C

• Clinical Social Worker in Castro Valley, CA
• Providers in Castro Valley, 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 Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.