Active NPI
Joan Leslie Willingham, MSW
- Clinical Social Worker
- Palo Alto, CA
National Provider Identifier
1871795575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS 3427
- Practice address
- 660 Middlefield Rd Ste B
Palo Alto, CA 94301-2125 - Phone
- (650) 327-3306
- NPI assigned
- Jun 4, 2007
- 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 | LCS 3427 | CA | Primary |
Addresses
Primary practice location
660 Middlefield Rd Ste B
Palo Alto, CA 94301-2125
Mailing address
660 Middlefield Rd Ste B
Palo Alto, CA 94301-2125
Phone (650) 327-3306
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LCS3427 | Other | CA | CLINICAL SOCIAL WORKER |
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 |
|---|---|---|---|
| LCS 3427 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871795575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 MIDDLEFIELD RD STE B",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943012125",
"telephone_number": "650-327-3306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 MIDDLEFIELD RD STE B",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943012125",
"telephone_number": "650-327-3306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLINGHAM",
"first_name": "JOAN",
"middle_name": "LESLIE",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS 3427",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLINICAL SOCIAL WORKER",
"identifier": "LCS3427",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.