Individual provider Active NPI

Inger Marie Acking, MSW LCSW

  • Social Worker
  • Oakland, CA
National Provider Identifier
1891701553
Registry record updated Nov 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LCS12559 Issued in CA
Practice address
1305 Franklin Street
Suite 506
Oakland, CA 94612-3213
Phone
(510) 528-9865
Fax
(510) 238-9212
NPI assigned
Aug 1, 2006
Last updated
Nov 14, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LCS12559 CA Primary

Addresses

Primary practice location

1305 Franklin Street
Suite 506
Oakland, CA 94612-3213

Mailing address

1305 Franklin Street
Suite 506
Oakland, CA 94612-3213
Phone (510) 528-9865

Other identifiers 4

IdentifierTypeStateIssuer
817179000OtherCAMAGELLAN
CSW12259OOtherCAMEDICAL
5641154OtherCAFIRST HEALTH NETWORK
049683OtherCAMANAGED HEALTH

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS12559CAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352851200000",
    "number": "1891701553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 FRANKLIN STREET",
            "address_2": "SUITE 506",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123213",
            "telephone_number": "510-528-9865",
            "fax_number": "510-238-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 FRANKLIN STREET",
            "address_2": "SUITE 506",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123213",
            "telephone_number": "510-528-9865",
            "fax_number": "510-238-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKING",
        "first_name": "INGER",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MSW LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2012-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "LCS12559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "817179000",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "CSW12259O",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH NETWORK",
            "identifier": "5641154",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH",
            "identifier": "049683",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2012; 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.