Active NPI
Linda Park Macapagal, LCSW
- Clinical Social Worker
- Burlingame, CA
National Provider Identifier
1831523471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 26165
- Practice address
- 1425 Broadway
Suite 14
Burlingame, CA 94010-3458 - Phone
- (650) 242-5971
- NPI assigned
- Aug 30, 2013
- 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 | 26165 | CA | Primary |
Addresses
Primary practice location
1425 Broadway
Suite 14
Burlingame, CA 94010-3458
Mailing address
1425 Broadway
Suite 14
Burlingame, CA 94010-3458
Phone (650) 242-5971
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201125002356 | CA | Practitioner - Clinical Social Worker | 0042621963 | Practice locations: Burlingame, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26165 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461801600000",
"number": "1831523471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 BROADWAY",
"address_2": "SUITE 14",
"city": "BURLINGAME",
"state": "CA",
"postal_code": "940103458",
"telephone_number": "650-242-5971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 BROADWAY",
"address_2": "SUITE 14",
"city": "BURLINGAME",
"state": "CA",
"postal_code": "940103458",
"telephone_number": "650-242-5971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACAPAGAL",
"first_name": "LINDA",
"middle_name": "PARK",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-30",
"last_updated": "2016-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "26165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlingame, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; 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.