MRS. QUEEN ADU-POKU LCSW
NPI 1700110657
Social Worker - Clinical in Antioch, CA

Q: What is Queen Adu-poku's NPI number?

The NPI number for Queen Adu-poku is 1700110657. It was assigned to this individual provider in the NPPES registry on September 24, 2009.

Q: What is Queen Adu-poku's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Queen Adu-poku was last updated on January 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.

Active since September 24, 2009PECOS EnrolledAccepts Medicare Assignment

2810 LONE TREE WAY STE 9, ANTIOCH, CA 94509(926) 628-9948(925) 521-8715 Get Directions Write a Review

NPPES record last updated: January 24, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 24, 2020, Mar 9, 2018 (2 updates tracked since 2018).

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About Mrs. Queen Adu-poku Lcsw NPPES

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

MRS. QUEEN ADU-POKU LCSW (NPI 1700110657) is an individual clinical provider in Antioch, California, licensed in California (25265) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1700110657

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. QUEEN ADU-POKUCredential: LCSW

Location Address2810 LONE TREE WAY STE 9Antioch, CA 94509-4956

Mailing AddressPo Box 2911Antioch, CA 94531-2911 · (925) 642-1218 · Fax (925) 521-8715

Phone(926) 628-9948

Fax(925) 521-8715

Sole ProprietorYes

Medical School CMSOtherGraduated 1996

Enumeration DateSeptember 24, 2009

Last NPPES UpdateJanuary 24, 20202 updates tracked since enumeration

✔ NPI 1700110657 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 · 25265

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.

2810 LONE TREE WAY STE 9, Antioch, CA 94509

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Queen Adu-poku Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294058236

PECOS Enrollment IDI20141229000034

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Queen Adu-poku reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Queen Adu-Poku Licensed Clinical Social Worker PC

Same address

Clinical

2810 LONE TREE WAY STE 9
Antioch, CA 94509

Reassigned Medicare billing, California enrollment

NPI 1912596933 (925) 642-1218

Permanente Medical Group Inc

26 mi

Internal Medicine

975 SERENO DRIVE
Vallejo, CA 94589

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1336222397 (707) 651-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94509 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $69.00 – $202.35

Typical copayment $0.00 (range $17.25 – $50.58)

Most-billed visit code NA

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

DR. SEVAUGHN BANKS PHD, ACSW

Social Worker (Clinical)