Individual provider Active NPI

Jeffrey A Cotter, LCSW

  • Social Worker
  • San Francisco, CA
National Provider Identifier
1942327606
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LCS22638 Issued in CA
Practice address
2712 Mission St
San Francisco, CA 94110-3104
Phone
(628) 754-8800
Fax
(415) 401-2741
NPI assigned
Mar 26, 2007
Last updated
Aug 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LCS22638 CA Primary
Clinical Social Worker 1041C0700X LCS22639 CA

Addresses

Primary practice location

2712 Mission St
San Francisco, CA 94110-3104

Mailing address

4111 18TH St Ste 5
San Francisco, CA 94114-2441
Phone (415) 431-1485

Other identifiers 2

IdentifierTypeStateIssuer
10632OtherCBHS INTERNAL USE ONLY-COMMERCIAL NUMBER
10632OtherSFGH INTERNAL USE ONLY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050729000551 CA Practitioner - Clinical Social Worker 3678501822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
City and County of San FranciscoGroup PAC ID 1658280748, 368 clinicians

Practice addresses (Care Compare)

2712 Mission St
San Francisco, CA 94110-3104
Phone (415) 401-2700

760 Harrison St
San Francisco, CA 94107-1235
Phone (415) 836-1700

Merit-based Incentive Payment System (MIPS)

Final score
88.2 of 100Reported as group
Quality
61.12
Promoting interoperability
99
Improvement activities
40
Cost
83.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS22638CAMDSocial Worker
LCS22639CAMDClinical Social Worker
22639CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
City & County of San Francisco CurrentSince Jan 27, 2014 Accepting new patients
City and County of San Francisco CurrentSince Jan 27, 2014 Accepting new patients
City & County of San Francisco Current Accepting new patients

Locations

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

1001 Potrero Ave
Bldg 20
San Francisco, CA 94110
Phone (415) 206-8524

760 Harrison St
San Francisco, CA 94107
Phone (415) 836-1700

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1942327606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 18TH ST STE 5",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941142441",
            "telephone_number": "415-431-1485",
            "fax_number": "415-276-2397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2712 MISSION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103104",
            "telephone_number": "628-754-8800",
            "fax_number": "415-401-2741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTER",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "LCS22638",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS22639",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBHS INTERNAL USE ONLY-COMMERCIAL NUMBER",
            "identifier": "10632",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SFGH INTERNAL USE ONLY",
            "identifier": "10632",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.