Active NPI
Omni Core Behavioral Health LCSW Therapy and Consultation, Inc
- Clinical Social Worker
- Santa Rosa, CA
National Provider Identifier
1932062197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- OMNI CORE BEHAVIORAL HEALTH LCSW THERAPY AND CONSULTATION, INC
- Practice address
- 150 Mariah PL
Santa Rosa, CA 95409-2692 - Phone
- (443) 219-7125
- NPI assigned
- Dec 4, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Konstance Castle, LCSW
- Title
- Owner
- Phone
- (301) 640-1116
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
150 Mariah PL
Santa Rosa, CA 95409-2692
Mailing address
5632 Van Nuys Blvd Unit 3193
Sherman Oaks, CA 91401-4602
Phone (443) 219-7125
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Pasadena, CA
- NPI 1841848272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764806400000",
"number": "1932062197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5632 VAN NUYS BLVD UNIT 3193",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914014602",
"telephone_number": "443-219-7125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 MARIAH PL",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954092692",
"telephone_number": "443-219-7125"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OMNI CORE BEHAVIORAL HEALTH LCSW THERAPY AND CONSULTATION, INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-04",
"last_updated": "2025-12-04",
"certification_date": "2025-12-04",
"status": "A",
"authorized_official_last_name": "CASTLE",
"authorized_official_first_name": "KONSTANCE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "301-640-1116",
"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": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.