Active NPI
Jill Hearne Caplan, MSW
- Clinical Social Worker
- Oakland, CA
National Provider Identifier
1932246535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 24053
- Practice address
- 1800 Harrison St, 7TH FL
Oakland, CA 94612-3429 - Phone
- (510) 625-2856
- Fax
- (877) 738-4262
- NPI assigned
- Jan 31, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ASW 15699 | CA | |
| Clinical Social Worker | 1041C0700X | 24053 | CA | Primary |
Addresses
Primary practice location
1800 Harrison St, 7TH FL
Oakland, CA 94612-3429
Mailing address
1800 Harrison St, 7TH FL
Oakland, CA 94612-3429
Phone (510) 625-2856
Other names 1
- Jill Hearne Sundstrom
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) | The Permanente Medical Group |
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
| License | State | Type | Specialty |
|---|---|---|---|
| ASW 15699 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695686400000",
"number": "1932246535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 HARRISON ST, 7TH FL",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946123429",
"telephone_number": "510-625-2856",
"fax_number": "877-738-4262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 HARRISON ST, 7TH FL",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946123429",
"telephone_number": "510-625-2856",
"fax_number": "877-738-4262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPLAN",
"first_name": "JILL",
"middle_name": "HEARNE",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2023-09-26",
"certification_date": "2023-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW 15699",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "24053",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "The Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "2345 Fair Oaks Blvd",
"city": "Sacramento",
"state": "CA",
"country_code": "US",
"postal_code": "958254708",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JILL",
"last_name": "SUNDSTROM",
"middle_name": "HEARNE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Oakland, CA
- Capitol Business Development Inc. (Health Care Dual Diagnosis Program II)
- Capitol Business Development Inc. (Health Care Dual Diagnosis Program II)
- Capitol Business Development Inc. (Health Care Dual Diagnosis Program II)
- Allison Nuovo Capizzi, M.D.
- Arianna Katia Caplan, L.C.S.W, M.P.H.
- Meredith Leigh Caplin, LCSW
- Alexa Capone, PSYD
- Marianna Caponigro, MD
- Sarah Cappelli, LMFT
- John Capuchino
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.