Active NPI
Cynthia Christina Alvarado Olmedo, LCSW
- Clinical Social Worker
- Fremont, CA
National Provider Identifier
1821650318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 123533
- Practice address
- 39159 Paseo Padre Pkwy # 403
Fremont, CA 94538-1608 - Phone
- (510) 952-1190
- NPI assigned
- Jul 3, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 123533 | CA | Primary |
Addresses
Primary practice location
39159 Paseo Padre Pkwy # 403
Fremont, CA 94538-1608
Mailing address
9755 Date St
Fontana
Ca, CA 92335
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heritage Group Homes, Inc. | 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 and National Provider Directory roles.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- La Verne, CA
- NPI 1285186981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1821650318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9755 DATE ST",
"address_2": "FONTANA",
"city": "CA",
"state": "CA",
"postal_code": "92335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39159 PASEO PADRE PKWY # 403",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381608",
"telephone_number": "510-952-1190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVARADO OLMEDO",
"first_name": "CYNTHIA",
"middle_name": "CHRISTINA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-03",
"last_updated": "2024-08-02",
"certification_date": "2024-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "123533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.