Active NPI
Charles Darrell Slocum Jr.
- Social Worker
- Fresno, CA
National Provider Identifier
1043789555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ASW121016
- Practice address
- 1040 N Pleasant Ave
Fresno, CA 93728-2434 - Phone
- (559) 899-0888
- NPI assigned
- Nov 14, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Peer Specialist | 175T00000X | |||
| Social Worker | 104100000X | ASW121016 | CA | Primary |
Addresses
Primary practice location
1040 N Pleasant Ave
Fresno, CA 93728-2434
Mailing address
496 S Barton Ave
Fresno, CA 93702-2985
Other practice location 1
496 S Barton Ave
Fresno, CA 93701
Phone (559) 892-1128
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| $$$$$$$$$ | Medicaid | CA | |
| 10YM0000X | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| ASW121016 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RH Community Builders LP. | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Adult Mental Health Clinic/Center
- Fresno, CA
- NPI 1184231508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757030400000",
"number": "1043789555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "496 S BARTON AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937022985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 N PLEASANT AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937282434",
"telephone_number": "559-899-0888"
}
],
"practiceLocations": [
{
"address_1": "496 S Barton Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "93701",
"country_code": "US",
"telephone_number": "559-892-1128",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SLOCUM",
"first_name": "CHARLES",
"middle_name": "DARRELL",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-11-14",
"last_updated": "2025-09-05",
"certification_date": "2025-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW121016",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "$$$$$$$$$",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10YM0000X",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.