Active NPI
Deidra Marie Somerville, ASW
- Mental Health Counselor
- San Francisco, CA
National Provider Identifier
1851276018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- ASW124362
- Practice address
- 1530 Buchanan St
San Francisco, CA 94115-3709 - Phone
- (650) 437-5475
- NPI assigned
- Aug 7, 2025
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | ASW124362 | CA | Primary |
Addresses
Primary practice location
1530 Buchanan St
San Francisco, CA 94115-3709
Mailing address
1486 Huntington Ave
South San Francisco, CA 94080-5970
Other practice location 1
129 Dakota St
San Francisco, CA 94107-3307
Phone (650) 437-5475
Other practice location 2
1486 Huntington Ave
South San Francisco, CA 94080-5970
Phone (650) 437-5475
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 |
|---|---|---|---|
| ASW124362 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754524800000",
"number": "1851276018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1486 HUNTINGTON AVE",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940805970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 BUCHANAN ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941153709",
"telephone_number": "650-437-5475"
}
],
"practiceLocations": [
{
"address_1": "129 Dakota St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941073307",
"country_code": "US",
"telephone_number": "650-437-5475",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1486 Huntington Ave",
"address_purpose": "LOCATION",
"city": "South San Francisco",
"state": "CA",
"postal_code": "940805970",
"country_code": "US",
"telephone_number": "650-437-5475",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOMERVILLE",
"first_name": "DEIDRA",
"middle_name": "MARIE",
"credential": "ASW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-07",
"last_updated": "2025-08-07",
"certification_date": "2025-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW124362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.