Individual provider Active NPI

Raysean S Ford

  • Clinical Social Worker
  • San Francisco, CA
National Provider Identifier
1972837029
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW114328 Issued in CA
Practice address
675 18TH St
San Francisco, CA 94143-4200
Phone
(415) 476-7000
NPI assigned
Sep 22, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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 LCSW114328 CA Primary

Addresses

Primary practice location

675 18TH St
San Francisco, CA 94143-4200

Mailing address

1450 Excelsior Ave
Oakland, CA 94602-1162
Phone (415) 235-1775

Other practice location 1

1450 Excelsior Ave Apt 1
Oakland, CA 94602-1162
Phone (415) 235-1775

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
I20250306000902 CA Practitioner - Clinical Social Worker 9436670403 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1569 Sloat Blvd
San Francisco, CA 94132-1256
Phone (415) 476-1000

2330 Post St
San Francisco, CA 94115-3465
Phone (415) 476-4029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW114328CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Feb 7, 2025 Accepting new patients
UCSF Pediatrics Associates CurrentSince Feb 7, 2025 Accepting new patients
University of California San Francisco CurrentSince Feb 7, 2025 Accepting new patients
UCSF Medical Group Business Services CurrentSince Feb 7, 2025 Accepting new patients
UCSF Psychiatry Clinical CurrentSince Feb 7, 2025 Accepting new patients
UCSF Medical Group Business Services CurrentSince Feb 7, 2025 Accepting new patients
University of California San Francisco CurrentSince Feb 7, 2025 Accepting new patients
University of California San Francisco Current Accepting new patients

Locations

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

675 18th St
San Francisco, CA 94143
Phone (415) 476-7527

401 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-7500

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

401 Parnassus Ave
#984
San Francisco, CA 94143
Phone (415) 476-7527

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

Organizations & group practices 8

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": "1253577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1972837029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 EXCELSIOR AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946021162",
            "telephone_number": "415-235-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 18TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941434200",
            "telephone_number": "415-476-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1450 Excelsior Ave Apt 1",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946021162",
            "country_code": "US",
            "telephone_number": "415-235-1775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORD",
        "first_name": "RAYSEAN",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-22",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW114328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.