Active NPI
Andrea Nicole Harbor
- Social Worker
- San Leandro, CA
National Provider Identifier
1982137659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 103371
- Practice address
- 2275 Arlington Dr
San Leandro, CA 94578-1132 - Phone
- (510) 317-1444
- NPI assigned
- Apr 9, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Case Manager/Care Coordinator | 171M00000X | F2045990 | CA | |
| Social Worker | 104100000X | 103371 | CA | Primary |
Addresses
Primary practice location
2275 Arlington Dr
San Leandro, CA 94578-1132
Mailing address
2275 Arlington Dr
San Leandro, CA 94578-1132
Phone (510) 317-1444
Other practice location 1
499 Loma Alta Ave
Los Gatos, CA 95030-6227
Phone (408) 364-4157
Other practice location 2
1075 E Santa Clara St
San Jose, CA 95116-2244
Phone (408) 792-3908
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
| License | State | Type | Specialty |
|---|---|---|---|
| 103371 | CA | MD | Marriage & Family Therapist |
| F2045990 | CA | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688515200000",
"number": "1982137659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2275 ARLINGTON DR",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945781132",
"telephone_number": "510-317-1444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2275 ARLINGTON DR",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945781132",
"telephone_number": "510-317-1444"
}
],
"practiceLocations": [
{
"address_1": "499 Loma Alta Ave",
"address_purpose": "LOCATION",
"city": "Los Gatos",
"state": "CA",
"postal_code": "950306227",
"country_code": "US",
"telephone_number": "408-364-4157",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1075 E Santa Clara St",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951162244",
"country_code": "US",
"telephone_number": "408-792-3908",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARBOR",
"first_name": "ANDREA",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-09",
"last_updated": "2023-07-05",
"certification_date": "2023-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": "F2045990",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "103371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.