Individual provider Active NPI

Michaela L. Thompson, LCSW

  • Clinical Social Worker
  • Oakland, CA
National Provider Identifier
1760807283
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06366 Issued in KS
Practice address
1901 Harrison St Ste 1100
Oakland, CA 94612-3648
Phone
(510) 906-8366
NPI assigned
Feb 20, 2014
Last updated
May 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
101649CAMDClinical Social Worker
06366KSMDClinical Social Worker
2024030134MOMDClinical 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.

Verify at the official NPI Registry.