Individual provider Active NPI

Irene Kaludi, LCSW

  • Clinical Social Worker
  • Albany, CA
National Provider Identifier
1851690465
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
79587 Issued in CA
Practice address
828 San Pablo Ave Ste 109
Albany, CA 94706-1678
Phone
(510) 516-5245
NPI assigned
Mar 22, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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 79587 CA Primary

Addresses

Primary practice location

828 San Pablo Ave Ste 109
Albany, CA 94706-1678

Mailing address

828 San Pablo Ave Ste 109
Albany, CA 94706-1678
Phone (510) 516-5245

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

LicenseStateTypeSpecialty
79587CAMDDental Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1851690465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 SAN PABLO AVE STE 109",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947061678",
            "telephone_number": "510-516-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 SAN PABLO AVE STE 109",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947061678",
            "telephone_number": "510-516-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALUDI",
        "first_name": "IRENE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-22",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "79587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.