Individual provider Active NPI

Judith D. Schiller, PH.D, LCSW

  • Clinical Social Worker
  • San Francisco, CA
National Provider Identifier
1992816219
Registry record updated Aug 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS10876 Issued in CA
Practice address
55 New Montgomery St Ste 425
San Francisco, CA 94105
Phone
(415) 777-1090
Fax
(415) 552-2036
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2018

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 LCS10876 CA Primary

Addresses

Primary practice location

55 New Montgomery St Ste 425
San Francisco, CA 94105

Mailing address

55 New Montgomery St Ste 425
San Francisco, CA 94105-3448
Phone (415) 777-1090

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LCS10876CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535673600000",
    "number": "1992816219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 NEW MONTGOMERY ST STE 425",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941053448",
            "telephone_number": "415-777-1090",
            "fax_number": "415-552-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 NEW MONTGOMERY ST STE 425",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94105",
            "telephone_number": "415-777-1090",
            "fax_number": "415-552-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHILLER",
        "first_name": "JUDITH",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "PH.D, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2018-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS10876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.