Active NPI
Claudia Hervatin-Hergesheimer, MSW
- Social Worker
- San Diego, CA
National Provider Identifier
1851637201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ASW 32885
- Practice address
- 3309 4TH Ave
San Diego, CA 92103-5703 - Phone
- (619) 370-7545
- Fax
- (619) 956-3926
- NPI assigned
- Dec 12, 2012
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | ASW 32885 | CA | Primary |
Addresses
Primary practice location
3309 4TH Ave
San Diego, CA 92103-5703
Mailing address
2226 Vista Chaparral
Carlsbad, CA 92009-9003
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 |
|---|---|---|---|
| ASW 32885 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358985600000",
"number": "1851637201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2226 VISTA CHAPARRAL",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920099003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3309 4TH AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921035703",
"telephone_number": "619-370-7545",
"fax_number": "619-956-3926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERVATIN-HERGESHEIMER",
"first_name": "CLAUDIA",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-12",
"last_updated": "2013-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW 32885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.