Active NPI
Elizabeth Fe Pickering, LCSW
- Clinical Social Worker
- Santa Rosa, CA
National Provider Identifier
1811416829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 108996
- Practice address
- 3400 Montgomery Dr
Santa Rosa, CA 95405-5142 - Phone
- (707) 526-6902
- Fax
- (707) 526-6972
- NPI assigned
- Sep 12, 2017
- Last updated
- Dec 19, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 108996 | CA | Primary |
Addresses
Primary practice location
3400 Montgomery Dr
Santa Rosa, CA 95405-5142
Mailing address
3400 Montgomery Dr
Santa Rosa, CA 95405-5142
Phone (707) 526-6902
Other names 1
- Elizabeth Fe Pickering
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | LPickering@progressfoundation.org |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 108996 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progress Foundation | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Progress Sonoma
- Mental Illness Community Based Residential Treatment Facility
- Santa Rosa, CA
- NPI 1932224227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671408000000",
"number": "1811416829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 MONTGOMERY DR",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954055142",
"telephone_number": "707-526-6902",
"fax_number": "707-526-6972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 MONTGOMERY DR",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954055142",
"telephone_number": "707-526-6902",
"fax_number": "707-526-6972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICKERING",
"first_name": "ELIZABETH",
"middle_name": "FE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-12",
"last_updated": "2022-12-19",
"certification_date": "2022-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "108996",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "LPickering@progressfoundation.org",
"affiliation": "N",
"endpointDescription": "email",
"address_1": "3400 Montgomery Dr",
"city": "Santa Rosa",
"state": "CA",
"country_code": "US",
"postal_code": "954055142",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "PICKERING",
"middle_name": "FE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.