Individual provider Active NPI

Marcia O Howard, LCSW

  • Clinical Social Worker
  • San Jose, CA
National Provider Identifier
1811021496
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW23049 Issued in CA
Practice address
1245 S Winchester Blvd Ste 110
San Jose, CA 95128-3908
Phone
(925) 282-1778
Fax
(415) 296-5299
NPI assigned
Mar 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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 LCSW23049 CA Primary

Addresses

Primary practice location

1245 S Winchester Blvd Ste 110
San Jose, CA 95128-3908

Mailing address

1245 S Winchester Blvd Ste 110
San Jose, CA 95128-3908
Phone (925) 282-1778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200820000439 CA Practitioner - Clinical Social Worker 3779909882 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW23049CAMDClinical Social Worker
23049CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Svmhs Clinics CurrentSince Jun 20, 2020 Accepting new patients
Svmhs Clinics CurrentSince Jun 20, 2020 Accepting new patients
Cyti Health PC CurrentSince Aug 8, 2024 Accepting new patients
Salinas Valley Memorial Healthcare System CurrentSince Jun 18, 2024 Accepting new patients
Salinas Valley Memorial Healthcare System CurrentSince Jun 18, 2024 Accepting new patients
Wellspring Psychological Services, Inc. CurrentSince Feb 29, 2024 Accepting new patients
Lancelot O Alexander MD a Medical Corporation Past Accepting new patients

Locations

850 5th St
Gonzales, CA 93926
Phone (831) 657-3601

9829 Blue Larkspur Ln
Ste 2
Monterey, CA 93940
Phone (831) 647-8490

Dept LA 24403
Pasadena, CA 91185

11801 Pierce St
Riverside, CA 92505
Phone (909) 528-0317

1033 Los Palos Dr
Salinas, CA 93901
Phone (831) 424-2866

559 Abbott St
#A
Salinas, CA 93901
Phone (831) 422-4500

3111 Camino del Rio N
Ste 460
San Diego, CA 92108

402 W Broadway
Ste 400
San Diego, CA 92101
Phone (619) 810-1939

Organizations & group practices 7

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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1811021496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 S WINCHESTER BLVD STE 110",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283908",
            "telephone_number": "925-282-1778",
            "fax_number": "415-296-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 S WINCHESTER BLVD STE 110",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283908",
            "telephone_number": "925-282-1778",
            "fax_number": "415-296-5299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "MARCIA",
        "middle_name": "O",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW23049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.