Active NPI
Michaela L. Thompson, LCSW
- Clinical Social Worker
- Oakland, CA
National Provider Identifier
1760807283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 06366
- Practice address
- 1901 Harrison St Ste 1100
Oakland, CA 94612-3648 - Phone
- (510) 906-8366
- NPI assigned
- Feb 20, 2014
- Last updated
- May 1, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | ||
| Clinical Social Worker | 1041C0700X | 06366 | KS | Primary |
| Clinical Social Worker | 1041C0700X | 2024030134 | MO | |
| Clinical Social Worker | 1041C0700X | 101649 | CA |
Addresses
Primary practice location
1901 Harrison St Ste 1100
Oakland, CA 94612-3648
Mailing address
490 43Rd St # 1003
Oakland, CA 94609-2138
Phone (510) 906-8366
Other practice location 1
12641 Antioch Rd Ste 1152
Overland Park, KS 66213-1701
Phone (510) 906-8366
Other practice location 2
490 43rd St # 1003
Oakland, CA 94609-2138
Phone (510) 906-8366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101649 | CA | MD | Clinical Social Worker |
| 06366 | KS | MD | Clinical Social Worker |
| 2024030134 | MO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777593600000",
"number": "1760807283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "490 43RD ST # 1003",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946092138",
"telephone_number": "510-906-8366",
"fax_number": "510-275-0462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 HARRISON ST STE 1100",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946123648",
"telephone_number": "510-906-8366"
}
],
"practiceLocations": [
{
"address_1": "12641 Antioch Rd Ste 1152",
"address_purpose": "LOCATION",
"city": "Overland Park",
"state": "KS",
"postal_code": "662131701",
"country_code": "US",
"telephone_number": "510-906-8366",
"fax_number": "510-275-0462",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "490 43rd St # 1003",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946092138",
"country_code": "US",
"telephone_number": "510-906-8366",
"fax_number": "510-275-0462",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMPSON",
"first_name": "MICHAELA",
"middle_name": "L.",
"name_prefix": "Miss",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-20",
"last_updated": "2026-05-01",
"certification_date": "2026-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "06366",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2024030134",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "101649",
"primary": false
}
],
"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 May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.