Active NPI
Jeanne De Alcuaz, M.S.W.,L.C.S.W.
- Clinical Social Worker
- Redwood City, CA
National Provider Identifier
1992239016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS12620
- Practice address
- 61 Renato CT Ste 8
Redwood City, CA 94061-4016 - Phone
- (650) 483-8518
- NPI assigned
- Apr 14, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS12620 | CA | Primary |
Addresses
Primary practice location
61 Renato CT Ste 8
Redwood City, CA 94061-4016
Mailing address
61 Renato CT Ste 8
Redwood City, CA 94061-4016
Phone (650) 483-8518
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, 2016 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS12620 | CA | MD | Clinical Social Worker |
| 12620 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492128000000",
"number": "1992239016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 RENATO CT STE 8",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940614016",
"telephone_number": "650-483-8518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 RENATO CT STE 8",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940614016",
"telephone_number": "650-483-8518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE ALCUAZ",
"first_name": "JEANNE",
"credential": "M.S.W.,L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-14",
"last_updated": "2017-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS12620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redwood City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.