Individual provider Active NPI

Estepha Francisque, LCSW

  • Clinical Social Worker
  • Oakland, CA
National Provider Identifier
1801268719
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW85391 Issued in CA
Practice address
2940 Summit St Ste 2C
Oakland, CA 94609-3416
Phone
(916) 382-2733
Fax
(510) 619-2022
NPI assigned
Oct 30, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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 LCSW85391 CA Primary

Addresses

Primary practice location

2940 Summit St Ste 2C
Oakland, CA 94609-3416

Mailing address

1266 Tracy Cir
Vallejo, CA 94591-8585
Phone (916) 382-2733

Other practice location 1

125 S 3rd St
Ames, IA 50010-7042
Phone (515) 460-4886

Other practice location 2

110 Blue Ravine Rd Ste 104
Folsom, CA 95630-4712
Phone (916) 382-2733

Other practice location 3

110 Blue Ravine Rd Ste 104
Folsom, CA 95630-4712
Phone (916) 596-2596

Other practice location 4

129 C St Ste 7
Davis, CA 95616-4588
Phone (916) 382-2733

Other names 1

  • Estepha Francisque Other name

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
LCSW85391CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Forward Ethos Counseling, PC CurrentSince May 16, 2021 Accepting new patients

Locations

2940 Summit St
Ste 2C
Oakland, CA 94609
Phone (510) 210-0525

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1801268719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1266 TRACY CIR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945918585",
            "telephone_number": "916-382-2733",
            "fax_number": "510-619-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 SUMMIT ST STE 2C",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093416",
            "telephone_number": "916-382-2733",
            "fax_number": "510-619-2022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 S 3rd St",
            "address_purpose": "LOCATION",
            "city": "Ames",
            "state": "IA",
            "postal_code": "500107042",
            "country_code": "US",
            "telephone_number": "515-460-4886",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Blue Ravine Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Folsom",
            "state": "CA",
            "postal_code": "956304712",
            "country_code": "US",
            "telephone_number": "916-382-2733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Blue Ravine Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Folsom",
            "state": "CA",
            "postal_code": "956304712",
            "country_code": "US",
            "telephone_number": "916-596-2596",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "129 C St Ste 7",
            "address_purpose": "LOCATION",
            "city": "Davis",
            "state": "CA",
            "postal_code": "956164588",
            "country_code": "US",
            "telephone_number": "916-382-2733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRANCISQUE",
        "first_name": "ESTEPHA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-30",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW85391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ESTEPHA",
            "last_name": "FRANCISQUE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 28, 2021; 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.