Akeisa Ann Abercrombie

Primary specialty

Social WorkerTaxonomy code 104100000X

License

ACSW102251 Issued in CA

Practice address

1848 Willow Pass Rd Ste 207
Concord, CA 94520-2542

Phone

(530) 265-9057

NPI assigned

Aug 25, 2021

Last updated

Jun 8, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mountain Valley Child and Family Services, Inc.

  • Community/Behavioral Health Agency
  • Concord, CA
  • NPI 1063985794
  NPD (past)
• Mountain Valley Child and Family Services, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Sacramento, CA
  • NPI 1295893014
  NPD (past)
• Mountain Valley Child and Family Services, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Sacramento, CA
  • NPI 1689732406
  NPD (past)
• Mountain Valley Child and Family Services, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Sacramento, CA
  • NPI 1962560771
  NPD (past)

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1932876174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24077 STATE HIGHWAY 49",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959598519",
            "telephone_number": "530-265-9057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1848 WILLOW PASS RD STE 207",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202542",
            "telephone_number": "530-265-9057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24077 State Highway 49",
            "address_purpose": "LOCATION",
            "city": "Nevada City",
            "state": "CA",
            "postal_code": "959598519",
            "country_code": "US",
            "telephone_number": "530-265-9057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9200 Sweet Acacia Way",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958291130",
            "country_code": "US",
            "telephone_number": "916-362-8292",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7818 Bar Du Ln",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958299469",
            "country_code": "US",
            "telephone_number": "916-362-8292",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6171 Bradshaw Rd",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958299334",
            "country_code": "US",
            "telephone_number": "916-362-8292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABERCROMBIE",
        "first_name": "AKEISA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ACSW102251",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ACSW102251",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ACSW102251",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "ACSW102251",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rashid Abdul
• Yassin Jeylani Abdullahi, NRA
• Camryn Abelar
• Daniel Matthew Abella
• Ethan Aben
• Noah M Abi Najm
• Jami Abinales
• Akram Aboukhalil, PHARMD
• Irina Abovsky-Akkerman, NP
• Jonathan Abraham, DPM

• Social Worker in Concord, CA
• Providers in Concord, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.