Active NPI
Caleb Andrew Hervey, ASW
- Social Worker
- Fairfield, CA
National Provider Identifier
1992831127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 114858
- Practice address
- 1234 Empire St
Fairfield, CA 94533-5711 - Phone
- (707) 429-4440
- NPI assigned
- Feb 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 74524 | CA | |
| Clinical Social Worker | 1041C0700X | 112715 | CA | |
| Clinical Social Worker | 1041C0700X | 114858 | CA | |
| Social Worker | 104100000X | 114858 | CA | Primary |
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | 74524 | CA |
Addresses
Primary practice location
1234 Empire St
Fairfield, CA 94533-5711
Mailing address
2275 Arlington Dr
San Leandro, CA 94578-1132
Phone (510) 317-1444
Other practice location 1
8945 Golf Links Rd
Oakland, CA 94605-4124
Phone (510) 317-1444
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 |
|---|---|---|---|
| 114858 | CA | MD | Marriage & Family Therapist |
| 74524 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687392000000",
"number": "1992831127",
"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": "1234 EMPIRE ST",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945335711",
"telephone_number": "707-429-4440"
}
],
"practiceLocations": [
{
"address_1": "8945 Golf Links Rd",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946054124",
"country_code": "US",
"telephone_number": "510-317-1444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERVEY",
"first_name": "CALEB",
"middle_name": "ANDREW",
"name_prefix": "Mr.",
"credential": "ASW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-23",
"last_updated": "2023-06-22",
"certification_date": "2023-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "74524",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "112715",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "114858",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "114858",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "74524",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.