Individual provider Active NPI

Fred Dennis Galvan, LCSW

  • Clinical Social Worker
  • Sacramento, CA
National Provider Identifier
1053460824
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS11297 Issued in CA
Practice address
1321 Howe Ave
Suite 112
Sacramento, CA 95825-3365
Phone
(916) 923-4005
Fax
(530) 620-1047
NPI assigned
Jan 9, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 LCS11297 CA Primary

Addresses

Primary practice location

1321 Howe Ave
Suite 112
Sacramento, CA 95825-3365

Mailing address

468 Wyndgate Rd
Sacramento, CA 95864-5927
Phone (916) 799-3291

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS11297CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Human Touch Behavioral Health Inc CurrentSince Jan 5, 2020 Accepting new patients
Business Needs PastSince Aug 29, 2017 Accepting new patients

Locations

1337 Howe Ave
Ste 135
Sacramento, CA 95825
Phone (606) 392-4055

1610 Executive Ct
Sacramento, CA 95864
Phone (916) 359-2950

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1053460824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 WYNDGATE RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958645927",
            "telephone_number": "916-799-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 HOWE AVE",
            "address_2": "SUITE 112",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958253365",
            "telephone_number": "916-923-4005",
            "fax_number": "530-620-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALVAN",
        "first_name": "FRED",
        "middle_name": "DENNIS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS11297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.