Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Denis Cornelio Vidal, ASW

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1477067148

Denis Cornelio Vidal, ASW is a Clinical Social Worker in Oakland, California. Qualified in 2017, 9 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2017
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2540 Charleston St
Oakland, CA 94602-2508
Phone: (510) 531-7551
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 101938 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence ASW80336 (CA)

Record details

NPI number1477067148
Entity typeIndividual (Type 1)
GenderMale
Credentials ASW
Sole proprietorNo
NPI enumeratedNovember 16, 2017
Last updated in NPPESJune 16, 2021
Certification dateJune 16, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Oakland