Individual provider Active NPI

Neile Duginski

  • Clinical Social Worker
  • Martinez, CA
National Provider Identifier
1013459205
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
93253 Issued in CA
Practice address
1350 Arnold Dr Ste 102
Martinez, CA 94553-4190
Phone
(925) 266-6961
NPI assigned
Nov 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X ASW 71034 CA
Clinical Social Worker 1041C0700X 93253 CA Primary

Addresses

Primary practice location

1350 Arnold Dr Ste 102
Martinez, CA 94553-4190

Mailing address

1001 Harvey Dr Apt 216
Walnut Creek, CA 94597-3602
Phone (760) 445-1258

Other practice location 1

1701 Mission Ave
Oceanside, CA 92058-7102
Phone (760) 967-4475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220519002348 CA Practitioner - Clinical Social Worker 2668859216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Central Valley General HospitalGroup PAC ID 8325957517, 89 clinicians

Practice addresses (Care Compare)

1025 N Douty St
Hanford, CA 93230-3722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW 71034CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Reedley Community Hospital CurrentSince Mar 1, 2022 Accepting new patients
Reedley Community Hospital CurrentSince Mar 1, 2022 Accepting new patients

Locations

1025 N Douty St
Hanford, CA 93230
Phone (559) 537-0170

372 W Cypress Ave
Reedley, CA 93654
Phone (559) 391-3110

Networks

  • KY PPO C-SNP
  • MS PPO
  • MS PPO D-SNP
  • KY PPO
  • MS PPO C-SNP

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1013459205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 HARVEY DR APT 216",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945973602",
            "telephone_number": "760-445-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 ARNOLD DR STE 102",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945534190",
            "telephone_number": "925-266-6961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 Mission Ave",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920587102",
            "country_code": "US",
            "telephone_number": "760-967-4475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUGINSKI",
        "first_name": "NEILE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-06",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW 71034",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "93253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinez, CA

Sources for this page

Verify at the official NPI Registry.