Queen Adu-Poku Licensed Clinical Social Worker PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

QUEEN ADU-POKU LICENSED CLINICAL SOCIAL WORKER PC

Doing business as

Royal Emotional Care

Practice address

2810 Lone Tree Way Ste 9
Antioch, CA 94509-4956

Phone

(925) 642-1218

Fax

(925) 521-8715

NPI assigned

Jan 14, 2021

Last updated

Nov 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Queen LM Adu-PokuNPI 1700110657

Title

Ceo and Owner

Phone

(925) 642-1218

Specialties & licenses 1

Addresses

Other names 1

• Royal Emotional Care Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Queen Adu-Poku, LCSW

  • Clinical Social Worker
  • Antioch, CA
  • NPI 1700110657
  Medicare reassignment NPD Authorized official
• Michaella M Conteh

  • Clinical Social Worker
  • Antioch, CA
  • NPI 1609203306
  NPD
• Misty Hubbard, ASW

  • Clinical Social Worker
  • Antioch, CA
  • NPI 1689341505
  NPD
• Nancy Karen West-Thompson, ASW

  • Clinical Social Worker
  • Rio Vista, CA
  • NPI 1841097318
  NPD

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1912596933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2911",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945312911",
            "telephone_number": "925-642-1218",
            "fax_number": "925-521-8715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 LONE TREE WAY STE 9",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945094956",
            "telephone_number": "925-642-1218",
            "fax_number": "925-521-8715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "287 17th St Ste Aoakland",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946124242",
            "country_code": "US",
            "telephone_number": "925-255-0002",
            "fax_number": "925-521-8715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "QUEEN ADU-POKU LICENSED CLINICAL SOCIAL WORKER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-14",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "ADU-POKU",
        "authorized_official_first_name": "QUEEN",
        "authorized_official_middle_name": "LM",
        "authorized_official_title_or_position": "CEO AND OWNER",
        "authorized_official_telephone_number": "925-642-1218"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Royal Emotional Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Valerie Purdey
• Kalei Pututau
• Syed A. a. Qadri, MD
• Natasha Lynn Quackenbush, PSY.D.
• Clifford Quan, MD
• John Anthony Quesada, DC
• Maria Luisa Quesada
• Kathy Lee Quinlan, IMF
• Nicole Quintal
• Ruth Quintanilla

• Clinical Social Worker in Antioch, CA
• Providers in Antioch, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.