Individual provider Active NPI

Preston Parsons, LCSW

  • Clinical Social Worker
  • Oakland, CA
National Provider Identifier
1770815508
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12798 Issued in CA
Practice address
5835 College Ave
Suite D
Oakland, CA 94618-1653
Phone
(510) 914-9756
NPI assigned
Feb 3, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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 12798 CA Primary

Addresses

Primary practice location

5835 College Ave
Suite D
Oakland, CA 94618-1653

Mailing address

5835 College Ave
Oakland, CA 94618-1653
Phone (510) 914-9756

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2017 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12798CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265155200000",
    "number": "1770815508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5835 COLLEGE AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181653",
            "telephone_number": "510-914-9756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5835 COLLEGE AVE",
            "address_2": "SUITE D",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181653",
            "telephone_number": "510-914-9756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSONS",
        "first_name": "PRESTON",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "12798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.