JACQUELINE ONG - NPI 1649930082 - Social Worker in Oakland, CA

Q: What is Jacqueline Ong's NPI number?

The NPI number for Jacqueline Ong is 1649930082. It was assigned to this individual provider in the NPPES registry on December 27, 2021.

Q: What is Jacqueline Ong's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: Is Jacqueline Ong enrolled in Medicare?

No. Jacqueline Ong has opted out of Medicare through February 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Ong was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Jacqueline Ong NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE ONG (NPI 1649930082) is an individual clinical provider in Oakland, California, licensed in California (86543) and active in the NPI registry since December 2021. She has opted out of Medicare through February 16, 2028.

NPPES Registry Identity

NPI1649930082

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJACQUELINE ONG

Location Address5349 COLLEGE AVEOakland, CA 94618-1416

Mailing Address4096 Piedmont Ave Ste 508Oakland, CA 94611-5221 · (510) 658-0275

Phone(510) 658-0275

Sole ProprietorYes

Enumeration DateDecember 27, 2021

Last NPPES UpdateJuly 7, 20262 updates tracked since enumeration

NPPES CertifiedJuly 7, 2026

✔ NPI 1649930082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CA · 86543

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

5349 COLLEGE AVE, Oakland, CA 94618

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jacqueline Ong has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 16, 2024 through February 16, 2028.

Opt-Out Effective DateFebruary 16, 2024

Opt-Out In Effect ThroughFebruary 16, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT DOUGLAS LARSON PSYD

Psychologist (Clinical)