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ABDO ALI ABDULLAH LCSW
NPI 1700556560
Counselor - Professional in Stockton, CA

Active since September 14, 2021PECOS Enrolled
2105 W MARCH LN STE 2, STOCKTON, CA 95207(209) 792-1489 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 26, 2026, Jul 28, 2023, Sep 14, 2021 (3 updates tracked since 2021).

About Abdo Ali Abdullah Lcsw NPPES

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

ABDO ALI ABDULLAH LCSW (NPI 1700556560) is an individual professional provider in Stockton, California, licensed in California (133564) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1700556560
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameABDO ALI ABDULLAHCredential: LCSW
Location Address2105 W MARCH LN STE 2Stockton, CA 95207-6422
Mailing Address833 Inyo AveModesto, CA 95358-6029 · (559) 259-0844
Phone(209) 792-1489
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 14, 2021
Last NPPES UpdateJanuary 26, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2026
✔ NPI 1700556560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CA · 133564
2105 W MARCH LN STE 2, Stockton, CA 95207
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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 (PECOS)

Abdo Ali Abdullah Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840770319
PECOS Enrollment IDI20260213002413
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 Reassignment

Medicare enrollment records show Abdo Abdullah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

San Joaquin County Behavioral Health Services
0.7 mi
Mental Health (Including Community Mental Health Center)
4422 N PERSHING AVE, SUITE D1, D2, D3 AND D4
Stockton, CA 95207
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: County Of San Joaquin
  • 195 clinicians in this Medicare group
NPI 1356558639 (209) 468-8778

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

Other Providers at the Same Location NPPES 11

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

MRS. TORRIE ALYN-HUGHES PIASECKI LCSW
Social Worker (Clinical)
2105 W MARCH LN STE 2
STOCKTON, CA 95207
San Joaquin County (209) 792-2759
ISABEL ATHENA SANDOVAL
Peer Specialist
2105 W MARCH LN STE 2
STOCKTON, CA 95207
San Joaquin County (209) 808-8858
EA KAARAM SMITH APCC
Counselor (Mental Health)
2105 W MARCH LN STE 2
STOCKTON, CA 95207
San Joaquin County (209) 817-1805
AMANJOT KAUR
Counselor (Mental Health)
2105 W MARCH LN STE 2
STOCKTON, CA 95207
San Joaquin County (209) 817-2998
BROOKE ALEXA GUSHEA
Community Health Worker
2105 W MARCH LN STE 2
STOCKTON, CA 95207
San Joaquin County (510) 427-9716
JOANN NEBERBA
Specialist
2105 W MARCH LN STE 2
STOCKTON, CA 95207
San Joaquin County (209) 709-9369
JULIUS MARVELL SWEET
Case Manager/Care Coordinator
2105 W MARCH LN STE 2
STOCKTON, CA 95207
San Joaquin County (209) 290-3931
JOHN MATTHEW WHITLOCK
Community Health Worker
2105 W MARCH LN STE 2
STOCKTON, CA 95207
San Joaquin County (209) 468-2222

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Abdo Abdullah's NPI number?

The NPI number for Abdo Abdullah is 1700556560. It was assigned to this individual provider in the NPPES registry on September 14, 2021.

Where is Abdo Abdullah located?

Abdo Abdullah practices at 2105 W March Ln Ste 2, Stockton, CA 95207. The listed phone number is (209) 792-1489.

What is Abdo Abdullah's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Abdo Abdullah enrolled in Medicare?

Yes. Abdo Abdullah is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Abdo Abdullah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abdo Abdullah reassigns Medicare benefits to San Joaquin County Behavioral Health Services (Stockton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Abdo Abdullah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Abdo Abdullah was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.