Individual provider Active NPI

Ann Keilman, LCSW

  • Clinical Social Worker
  • Alameda, CA
National Provider Identifier
1912550310
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
88539 Issued in CA
Practice address
1242 Park St Ste C
Alameda, CA 94501-5500
Phone
(510) 521-3500
NPI assigned
Jul 24, 2019
Last updated
Jul 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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 88539 CA Primary

Addresses

Primary practice location

1242 Park St Ste C
Alameda, CA 94501-5500

Mailing address

2507 13TH Ave
Oakland, CA 94606-3219

Other names 1

  • Annie Keilman Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221021000447 CA Practitioner - Clinical Social Worker 8426424144 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Counseling Associates a LPCCGroup PAC ID 1850818469, 8 clinicians

Practice addresses (Care Compare)

1242 Park St
Suite C
Alameda, CA 94501-5500
Phone (510) 521-3500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
88539CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
California Counseling Associates a LPCC CurrentSince Aug 1, 2022 Accepting new patients

Locations

1242 Park St
Ste C
Alameda, CA 94501
Phone (510) 521-3500

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1912550310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2507 13TH AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946063219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1242 PARK ST STE C",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945015500",
            "telephone_number": "510-521-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEILMAN",
        "first_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "88539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNIE",
            "last_name": "KEILMAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Alameda, CA

Sources for this page

Verify at the official NPI Registry.