Sharon V. Ezekiel, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

23969 Issued in CA

Practice address

1590 Tucker St
Oakland, CA 94603-3876

Phone

(415) 215-1442

Fax

(415) 750-6976

NPI assigned

Aug 11, 2006

Last updated

Oct 24, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1760493704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 TUCKER ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946033876",
            "telephone_number": "415-215-1442",
            "fax_number": "415-750-6976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 TUCKER ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946033876",
            "telephone_number": "415-215-1442",
            "fax_number": "415-750-6976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZEKIEL",
        "first_name": "SHARON",
        "middle_name": "V.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "23969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Oakland, CA
• Providers in Oakland, 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 Oct 24, 2007; 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.