AKEISA ANN ABERCROMBIE — NPI 1932876174 (Licensed & Credentialed Social Worker in CONCORD, CA)

CMS-1500 Box 24J / 33a • NPI

1932876174

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

104100000X

Licensed & Credentialed Social Worker

Box 32 Service Location & ZIP+4

1848 WILLOW PASS RD STE 207, CONCORD, CA, 94520-2542

✓ 9-Digit EDI 837 ZIP+4 (94520-2542)

Practice Phone & Referral Fax

(530) 265-9057

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1932876174 (AKEISA ANN ABERCROMBIE) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1932876174` (NPI-1 Individual Practitioner)
Provider / Legal Name	AKEISA ANN ABERCROMBIE
Plain-English Specialty	Licensed & Credentialed Social Worker NUCC Code: `104100000X` (Social Worker)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1848 WILLOW PASS RD STE 207, CONCORD, CA, 94520-2542
Practice Telephone / Fax	Tel: (530) 265-9057
Administrative Mailing Address	24077 STATE HIGHWAY 49, NEVADA CITY, CA, 95959-8519
Enumeration & Last Sync	Enumerated: 2021-08-25 \| CMS Record Updated: 2023-06-08

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1848 WILLOW PASS RD STE 207, CONCORD, CA, 94520-2542

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Plain-English Taxonomy & CMS Crosswalk (104100000X)

What Does Taxonomy Code 104100000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 104100000X translates to:
"Licensed & Credentialed Social Worker"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Social Worker for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (AKEISA ANN ABERCROMBIE)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`390200000X` — Student in an Organized Health Care Education/Training Program Plain English: Licensed & Credentialed Student in an Organized Health Care Education/Training Program	State: CA \| License: `ACSW102251` \| Primary: Secondary
`104100000X` — Social Worker Plain English: Licensed & Credentialed Social Worker	State: CA \| License: `ACSW102251` \| Primary: Yes (Primary)
`101YM0800X` — Counselor, Mental Health Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor	State: CA \| License: `ACSW102251` \| Primary: Secondary
`1041C0700X` — Social Worker, Clinical Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical	State: CA \| License: `ACSW102251` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

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AKEISA ANN ABERCROMBIE (NPI #1932876174)