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AUDREY MCDOUGAL
NPI 1811236417
Social Worker - Clinical in San Leandro, CA

Active since February 04, 2013
400 ESTUDILLO AVE STE 100, SAN LEANDRO, CA 94577(510) 352-9200 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 10, 2024, Mar 2, 2021, Feb 12, 2020 (3 updates tracked since 2020).

About Audrey Mcdougal NPPES

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

AUDREY MCDOUGAL (NPI 1811236417) is an individual clinical provider in San Leandro, California, licensed in California (LCSW106518) and active in the NPI registry since February 2013. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1811236417
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAUDREY MCDOUGAL
Location Address400 ESTUDILLO AVE STE 100San Leandro, CA 94577-4962
Mailing Address400 Estudillo Ave Ste 100San Leandro, CA 94577-4962 · (510) 352-9200
Phone(510) 352-9200
Sole ProprietorNo
Enumeration DateFebruary 4, 2013
Last NPPES UpdateJune 10, 20243 updates tracked since enumeration
NPPES CertifiedJune 10, 2024
✔ NPI 1811236417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · LCSW106518
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License ASW87597 (CA)
400 ESTUDILLO AVE STE 100, San Leandro, CA 94577
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Secondary Practice Locations 2

Location 177 Mill StWestfield, MA 01085-4598 · Phone (413) 572-4111
Location 2545 Estudillo AveSan Leandro, CA 94577-4611 · Phone (510) 352-9200

Other Identifiers 1

Medicaid1300881MA

Other Providers at the Same Location NPPES 20

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

MAREN ELIZABETH TROTTER ASW
Counselor (Mental Health)
400 ESTUDILLO AVE STE 100
SAN LEANDRO, CA 94577
Alameda County (510) 352-9200
ALEXIS ELYSE SANCHEZ
Social Worker (Clinical)
400 ESTUDILLO AVE STE 100
SAN LEANDRO, CA 94577
Alameda County (510) 924-0548
HAO-YUN CHU
Student in an Organized Health Care Education/Training Program
400 ESTUDILLO AVE STE 100
SAN LEANDRO, CA 94577
Alameda County (510) 924-0548
MS. JENNIFER RAE CASTELLO MSW, LCSW
Social Worker (Clinical)
400 ESTUDILLO AVE STE 100
SAN LEANDRO, CA 94577
Alameda County (510) 924-0548
CINDY TERESA GUTIERREZ
Community Health Worker
400 ESTUDILLO AVE STE 100
SAN LEANDRO, CA 94577
Alameda County (510) 924-0548
EMMA MARTINEZ
Student in an Organized Health Care Education/Training Program
400 ESTUDILLO AVE STE 100
SAN LEANDRO, CA 94577
Alameda County (510) 924-0548
MANDY RENE RIVAS-CROSS ASW 123267
Social Worker
400 ESTUDILLO AVE STE 100
SAN LEANDRO, CA 94577
Alameda County (408) 807-6787
IVVETTE MORA ESTRADA
Case Manager/Care Coordinator
400 ESTUDILLO AVE STE 100
SAN LEANDRO, CA 94577
Alameda County (510) 924-0548

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 Audrey Mcdougal's NPI number?

The NPI number for Audrey Mcdougal is 1811236417. It was assigned to this individual provider in the NPPES registry on February 4, 2013.

Where is Audrey Mcdougal located?

Audrey Mcdougal practices at 400 Estudillo Ave Ste 100, San Leandro, CA 94577. The listed phone number is (510) 352-9200.

What is Audrey Mcdougal's specialty?

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

When was this NPI record last updated?

The NPPES record for Audrey Mcdougal was last updated on June 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.