Organization Active NPI

Mary Fleisch LCSW Integrative Counseling Inc

  • Clinical Social Worker
  • Oakland, CA
National Provider Identifier
1922701051
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MARY FLEISCH LCSW INTEGRATIVE COUNSELING INC
Doing business as
MARY FLEISCH THERAPY
Practice address
445 Bellevue Ave Ste 4
Oakland, CA 94610-4923
Phone
(510) 239-7243
NPI assigned
Mar 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Authorized official

Name
Mary Fleisch, LCSWNPI 1427467117
Title
Ceo
Phone
(510) 829-3663

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

445 Bellevue Ave Ste 4
Oakland, CA 94610-4923

Mailing address

445 Bellevue Ave Ste 4
Oakland, CA 94610-4923

Other names 1

  • MARY FLEISCH THERAPY Doing business as

National Provider Directory

National Provider Directory

Locations

445 Bellevue Ave
Ste 4
Oakland, CA 94610
Phone (510) 239-7243

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1922701051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 BELLEVUE AVE STE 4",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946104923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 BELLEVUE AVE STE 4",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946104923",
            "telephone_number": "510-239-7243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY FLEISCH LCSW INTEGRATIVE COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-26",
        "status": "A",
        "authorized_official_last_name": "FLEISCH",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-829-3663",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARY FLEISCH THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 27, 2023; 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.