Jennifer Wachter, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

19234 Issued in CA

Practice address

2041 Bancroft Way
Suite 307
Berkeley, CA 94704-1405

Phone

(510) 501-9860

NPI assigned

May 9, 2007

Last updated

Jul 29, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248825600000",
    "number": "1811101041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 TALBOT AVE",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947061306",
            "telephone_number": "510-501-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 BANCROFT WAY",
            "address_2": "SUITE 307",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041405",
            "telephone_number": "510-501-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACHTER",
        "first_name": "JENNIFER",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2009-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "19234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arianne J Vos, LMFT
• Elizabeth Padron Vos, LIC ACUP
• Melissa B. Vourlitis, D.O.
• Isabelle Rose Vratimos
• Damini Sharad Vyas
• Lynnette Stormy Wafer
• Kathleen Gavigan Waffner, PA
• Nicole Wagenberg, PHD
• Isabella Wagner
• James William Wagner, LMFT

• Clinical Social Worker in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.