NPIMap

Organization Active NPI

Sankofa Holistic Counseling Services, a Professional Clinical Social W

  • Clinical Social Worker
  • Oakland, CA
National Provider Identifier
1740602549
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS25062 Issued in CA
Legal business name
SANKOFA HOLISTIC COUNSELING SERVICES, A PROFESSIONAL CLINICAL SOCIAL W
Practice address
614 Grand Ave
Suite 203
Oakland, CA 94610-3554
Phone
(510) 433-0244
NPI assigned
Jan 13, 2014
Last updated
Feb 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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

Authorized official

Name
Mr. Claudius Johnson, LCSWNPI 1770738122
Title
Ceo
Phone
(510) 433-0244

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS25062 CA Primary

Addresses

Primary practice location

614 Grand Ave
Suite 203
Oakland, CA 94610-3554

Mailing address

614 Grand Ave
Suite 203
Oakland, CA 94610-3554
Phone (510) 433-0244

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1740602549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 GRAND AVE",
            "address_2": "SUITE 203",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946103554",
            "telephone_number": "510-433-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 GRAND AVE",
            "address_2": "SUITE 203",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946103554",
            "telephone_number": "510-433-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANKOFA HOLISTIC COUNSELING SERVICES, A PROFESSIONAL CLINICAL SOCIAL W",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-13",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CLAUDIUS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-433-0244",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS25062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.