Individual provider Active NPI

Rachel Marie Nicodemus

  • Social Worker
  • Chico, CA
National Provider Identifier
1023527082
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
125781 Issued in CA
Practice address
2550 Floral Ave Ste 30
Chico, CA 95973-9369
Phone
(530) 520-1219
NPI assigned
Sep 21, 2017
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 125781 CA Primary

Addresses

Primary practice location

2550 Floral Ave Ste 30
Chico, CA 95973-9369

Mailing address

2550 Floral Ave Ste 30
Chico, CA 95973-9369
Phone (530) 520-1219

Other practice location 1

756 East Ave
Chico, CA 95926-1209
Phone (530) 343-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
125781CAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Environmental Alternatives Past Accepting new patients
Environmental Alternatives PastSince Nov 17, 2019 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1023527082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 FLORAL AVE STE 30",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959739369",
            "telephone_number": "530-520-1219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 FLORAL AVE STE 30",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959739369",
            "telephone_number": "530-520-1219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "756 East Ave",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959261209",
            "country_code": "US",
            "telephone_number": "530-343-1100",
            "fax_number": "530-343-1176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICODEMUS",
        "first_name": "RACHEL",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-21",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "125781",
            "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 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.