Individual provider Active NPI

Gina Beatriz Lima-Vieira

  • Clinical Social Worker
  • Turlock, CA
National Provider Identifier
1104031269
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS27729 Issued in CA
Practice address
384 E Olive Ave Ste 1
Turlock, CA 95380
Phone
(209) 262-8082
Fax
(209) 633-5811
NPI assigned
May 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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 LCS27729 CA Primary

Addresses

Primary practice location

384 E Olive Ave Ste 1
Turlock, CA 95380

Mailing address

384 E Olive Ave Ste 1
Turlock, CA 95380-4051
Phone (209) 262-8082

Other practice location 1

4150 Patterson Rd
Riverbank, CA 95367
Phone (209) 863-3990

Other identifiers 1

IdentifierTypeStateIssuer
LCS27729OtherCALCSW LICENSE

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
LCS27729CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1104031269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 E OLIVE AVE STE 1",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953804051",
            "telephone_number": "209-262-8082",
            "fax_number": "209-633-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 E OLIVE AVE STE 1",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "95380",
            "telephone_number": "209-262-8082",
            "fax_number": "209-633-5811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4150 Patterson Rd",
            "address_purpose": "LOCATION",
            "city": "Riverbank",
            "state": "CA",
            "postal_code": "95367",
            "country_code": "US",
            "telephone_number": "209-863-3990",
            "fax_number": "209-863-3999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIMA-VIEIRA",
        "first_name": "GINA",
        "middle_name": "BEATRIZ",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS27729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW LICENSE",
            "identifier": "LCS27729",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.