Individual provider Active NPI

Sarah Taylor, LCSW

  • Clinical Social Worker
  • Oakland, CA
National Provider Identifier
1811332091
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
69893 Issued in CA
Practice address
1700 Market St
Oakland, CA 94607-3330
Phone
(510) 765-5477
NPI assigned
May 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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 69893 CA Primary

Addresses

Primary practice location

1700 Market St
Oakland, CA 94607-3330

Mailing address

10809 McIntyre St
Oakland, CA 94605-5239
Phone (503) 943-0761

Other practice location 1

1390 66th Ave
Oakland, CA 94621-4107
Phone (510) 639-1981

Other practice location 2

2940 Summit St
Suite 2D
Oakland, CA 94609-3416
Phone (415) 347-5696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240125001797 CA Practitioner - Clinical Social Worker 1658649819 Reassigns benefits to 1 organization
I20240201003649 NY Practitioner - Clinical Social Worker 1658649819 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
69893CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Jan 2, 2024 Accepting new patients
Grow Healthcare Group PC Mental Health CurrentSince Dec 23, 2023 Accepting new patients
New York City Health and Hospitals Corporation PastSince Jul 25, 2019 Accepting new patients
New York City Health and Hospitals Corporation PastSince Jul 25, 2019 Accepting new patients

Locations

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

Organizations & group practices 4

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": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1811332091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10809 MCINTYRE ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946055239",
            "telephone_number": "503-943-0761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MARKET ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946073330",
            "telephone_number": "510-765-5477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1390 66th Ave",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946214107",
            "country_code": "US",
            "telephone_number": "510-639-1981",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2940 Summit St",
            "address_2": "Suite 2D",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946093416",
            "country_code": "US",
            "telephone_number": "415-347-5696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "SARAH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-01",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "69893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.