Individual provider Active NPI

Lucia Grauman Clymer, LCSW

  • Clinical Social Worker
  • Oakland, CA
National Provider Identifier
1740941061
Registry record updated Jan 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS26718 Issued in CA
Practice address
5464 College Ave Ste C
Oakland, CA 94618-1687
Phone
(415) 820-9664
NPI assigned
Jan 8, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2022

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 LCS26718 CA Primary

Addresses

Primary practice location

5464 College Ave Ste C
Oakland, CA 94618-1687

Mailing address

5464 College Ave Ste C
Oakland, CA 94618-1687
Phone (917) 664-3724

Other names 1

  • Lucia Grauman Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 18, 2025 through Apr 18, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
26716CAMDClinical Psychologist
LCS26718CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1641600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641600000000",
    "number": "1740941061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5464 COLLEGE AVE STE C",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181687",
            "telephone_number": "917-664-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5464 COLLEGE AVE STE C",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181687",
            "telephone_number": "415-820-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLYMER",
        "first_name": "LUCIA",
        "middle_name": "GRAUMAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-08",
        "last_updated": "2022-01-08",
        "certification_date": "2022-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS26718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUCIA",
            "last_name": "GRAUMAN",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.