Individual provider Active NPI

Laronna Ebony Watson, MSW

  • Clinical Social Worker
  • Berkeley, CA
National Provider Identifier
1972980340
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
3220 Sacramento St
Berkeley, CA 94702-2726
Phone
(510) 719-1336
Fax
(209) 566-0821
NPI assigned
May 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 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 Primary

Addresses

Primary practice location

3220 Sacramento St
Berkeley, CA 94702-2726

Mailing address

3220 Sacramento St
Berkeley, CA 94702-2726
Phone (510) 719-1336

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
I20260305004171 CA Practitioner - Clinical Social Worker 6507348794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

143 W Colima Dr
Mountain House, CA 95391-3024

3220 Sacramento St
Berkeley, CA 94702-2726

PO Box
Suite 4978
Modesto, CA 95352

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Glom Outpatient Services Inc. CurrentSince Feb 20, 2026 Accepting new patients
Adapt: a Behavioral Collective, Inc. Past Accepting new patients
Glom Substance Abuse Program Past Accepting new patients

Locations

3123 Independence Dr
Livermore, CA 94551
Phone (209) 330-7155

1111 W Tokay St
Ste A
Lodi, CA 95240
Phone (925) 640-5426

1020 W Main St
Merced, CA 95340
Phone (209) 330-7155

130 W Flora St
Stockton, CA 95202
Phone (844) 456-6677

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1972980340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 SACRAMENTO ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947022726",
            "telephone_number": "510-719-1336",
            "fax_number": "209-566-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 SACRAMENTO ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947022726",
            "telephone_number": "510-719-1336",
            "fax_number": "209-566-0821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "LARONNA",
        "middle_name": "EBONY",
        "name_prefix": "Miss",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-05",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.