Active NPI
Haley Ona Ledbetter
- Clinical Social Worker
- Chico, CA
National Provider Identifier
1023477668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 89020
- Practice address
- 6 Governors LN Ste 1
Chico, CA 95926-5590 - Phone
- (530) 505-3383
- Fax
- (530) 505-3384
- NPI assigned
- Feb 10, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 89020 | CA | Primary |
Addresses
Primary practice location
6 Governors LN Ste 1
Chico, CA 95926-5590
Mailing address
6 Governors LN
Ste a
Chico, CA 95926-5590
Phone (530) 505-3383
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200311001039 | CA | Practitioner - Clinical Social Worker | 4385072065 | Practice locations: Chico, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567468800000",
"number": "1023477668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 GOVERNORS LN",
"address_2": "STE A",
"city": "CHICO",
"state": "CA",
"postal_code": "959265590",
"telephone_number": "530-505-3383",
"fax_number": "530-505-3384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 GOVERNORS LN STE 1",
"city": "CHICO",
"state": "CA",
"postal_code": "959265590",
"telephone_number": "530-505-3383",
"fax_number": "530-505-3384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEDBETTER",
"first_name": "HALEY",
"middle_name": "ONA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-10",
"last_updated": "2019-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "89020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.