Individual provider Active NPI

Danielle Lynn Marchman

  • Clinical Social Worker
  • Oakland, CA
National Provider Identifier
1982851366
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS24796 Issued in CA
Practice address
616 16TH St
Oakland, CA 94612-1205
Phone
(510) 451-4270
NPI assigned
Aug 27, 2008
Last updated
Aug 27, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

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 LCS24796 CA Primary

Addresses

Primary practice location

616 16TH St
Oakland, CA 94612-1205

Mailing address

616 16TH St
Oakland, CA 94612-1205

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
I20121217000351 CA Practitioner - Clinical Social Worker 5698953701 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifelong Medical CareGroup PAC ID 2062304538, 75 clinicians

Practice addresses (Care Compare)

10700 Macarthur Blvd
Suite 14B
Oakland, CA 94605-5260
Phone (510) 563-4300

2031 6TH St
Berkeley, CA 94710-2006
Phone (510) 981-4200

3260 Sacramento St
Berkeley, CA 94702-2739
Phone (510) 428-4500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS24796CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lifelong Medical Care CurrentSince Nov 30, 2020 Accepting new patients
Telecare Corporation CurrentSince Jul 21, 2012 Accepting new patients
Telecare Corporation CurrentSince Jul 21, 2012 Accepting new patients
Lifelong Medical Care CurrentSince Nov 30, 2020 Accepting new patients
Telecare Corporation Current Accepting new patients

Locations

1080 Marina Village Pkwy
Ste 100
Alameda, CA 94501
Phone (510) 306-5660

2344 6th St
Berkeley, CA 94710
Phone (510) 981-3203

10700 MacArthur Blvd
Ste 14B
Oakland, CA 94605
Phone (510) 563-4300

280 17th St
Oakland, CA 94612
Phone (510) 238-5020

616 16th St
Oakland, CA 94612
Phone (510) 451-1273

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219795200000",
    "number": "1982851366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 16TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946121205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 16TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946121205",
            "telephone_number": "510-451-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHMAN",
        "first_name": "DANIELLE",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-27",
        "last_updated": "2008-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS24796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.