Individual provider Active NPI

Sandra Smith, LCSW

  • Clinical Social Worker
  • Pleasanton, CA
National Provider Identifier
1821207168
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22379 Issued in CA
Practice address
3730 Hopyard Rd
#103
Pleasanton, CA 94588-8562
Phone
(925) 462-3010
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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 22379 CA Primary

Addresses

Primary practice location

3730 Hopyard Rd
#103
Pleasanton, CA 94588-8562

Mailing address

3730 Hopyard Rd
#103
Pleasanton, CA 94588-8562
Phone (925) 462-3010

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
I20110303000800 CA Practitioner - Clinical Social Worker 1052593639 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda, County of CurrentSince Apr 2, 2025 Accepting new patients
Alameda County Current Accepting new patients
County of Alameda Past Accepting new patients

Locations

2045 Fairmont Dr
Castro Valley, CA 94578
Phone (510) 667-7500

409 Jackson St
Ste 100
Hayward, CA 94544
Phone (510) 383-5103

3730 Hopyard Rd
Ste 103
Pleasanton, CA 94588
Phone (925) 462-3010

Organizations & group practices 3

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1821207168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3730 HOPYARD RD",
            "address_2": "#103",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945888562",
            "telephone_number": "925-462-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 HOPYARD RD",
            "address_2": "#103",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945888562",
            "telephone_number": "925-462-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SANDRA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "22379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

Verify at the official NPI Registry.