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

Mr. Jack Weitzman, LCSW

Individual provider Clinical Social Worker · NPI 1891852794

Mr. Jack Weitzman, LCSW is a Clinical Social Worker in Alameda, California. Qualified in 1978, 48 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
48
Licensed in
CA
In the registry since
2007
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

1215 Fountain St
Alameda, CA 94501-4824
Phone: (408) 396-6191
Fax: (408) 972-6494
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LN009294 (CA)

Record details

NPI number1891852794
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 2, 2007
Last updated in NPPESJanuary 2, 2023
Certification dateJanuary 2, 2023
Mailing address1215 Fountain St, Alameda, CA 94501-4824

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1978 (48 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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