Individual provider Active NPI

Cathleen Swift Nagel, LCSW

  • Clinical Social Worker
  • Oakland, CA
National Provider Identifier
1972279628
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
20623 Issued in CA
Practice address
431 30TH St # 110
Oakland, CA 94609-3307
Phone
(510) 399-5131
Fax
(510) 450-1585
NPI assigned
Aug 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 20623 CA Primary

Addresses

Primary practice location

431 30TH St # 110
Oakland, CA 94609-3307

Mailing address

431 30TH St # 110
Oakland, CA 94609-3307
Phone (510) 399-5131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2025 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1972279628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 30TH ST # 110",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093307",
            "telephone_number": "510-399-5131",
            "fax_number": "510-450-1585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 30TH ST # 110",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093307",
            "telephone_number": "510-399-5131",
            "fax_number": "510-450-1585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGEL",
        "first_name": "CATHLEEN",
        "middle_name": "SWIFT",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-20",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "20623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.