Individual provider Active NPI

Jeanine Salakar, LCSW

  • Clinical Social Worker
  • Chico, CA
National Provider Identifier
1023108552
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS22879 Issued in CA
Practice address
452 E 8TH Ave
Chico, CA 95926-3424
Phone
(530) 570-9684
Fax
(530) 570-9684
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS22879 CA Primary

Addresses

Primary practice location

452 E 8TH Ave
Chico, CA 95926-3424

Mailing address

452 E 8TH Ave
Chico, CA 95926-3424
Phone (530) 570-9684

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
I20061215000337 CA Practitioner - Clinical Social Worker 2567461700 Practice locations: Chico, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

330 Flume St
Suite 110
Chico, CA 95928-5400
Phone (530) 570-9684

452 E 8TH Ave
Chico, CA 95926-3424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
22879CAMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1023108552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 E 8TH AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263424",
            "telephone_number": "530-570-9684",
            "fax_number": "530-570-9684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 E 8TH AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263424",
            "telephone_number": "530-570-9684",
            "fax_number": "530-570-9684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAKAR",
        "first_name": "JEANINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS22879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.