Individual provider Active NPI

Sarah Jung-Mi Brown, LCSW

  • School Social Worker
  • Hayward, CA
National Provider Identifier
1962055103
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
124980 Issued in CA
Practice address
975 Schafer Rd
Hayward, CA 94544-3614
Phone
(510) 723-3835
NPI assigned
Jul 17, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 124980 CA Primary

Addresses

Primary practice location

975 Schafer Rd
Hayward, CA 94544-3614

Mailing address

14665 Washington Ave Apt 34
San Leandro, CA 94578-4231
Phone (510) 712-1033

Other names 1

  • Sarah Jung-Mi Canak Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
124980CAMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Point Quest Inc PastSince Jul 25, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1962055103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14665 WASHINGTON AVE APT 34",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945784231",
            "telephone_number": "510-712-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 SCHAFER RD",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945443614",
            "telephone_number": "510-723-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SARAH",
        "middle_name": "JUNG-MI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-17",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "CA",
            "license": "124980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "CANAK",
            "middle_name": "JUNG-MI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.