Individual provider Active NPI

Frank Nieto, MSW

  • Clinical Social Worker
  • Cameron Park, CA
National Provider Identifier
1144439746
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS6919 Issued in CA
Practice address
3330 Heights Dr
Ste 120
Cameron Park, CA 95682-7769
Phone
(530) 677-4404
Fax
(530) 677-4545
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 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 LCS6919 CA Primary

Addresses

Primary practice location

3330 Heights Dr
Ste 120
Cameron Park, CA 95682-7769

Mailing address

8813 Roundtable CT
Fair Oaks, CA 95628-6430
Phone (916) 967-7255

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050129000147 CA Practitioner - Clinical Social Worker 9537119342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Oakland College of Medicine and Surgery, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rose-Marie Y. NietoGroup PAC ID 2163556531, 5 clinicians

Practice addresses (Care Compare)

3330 Heights Dr
Suite 120
Cameron Park, CA 95682-7769
Phone (530) 677-4404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cameron Park Counseling Center, Inc. Clinical CurrentSince May 26, 2010 Accepting new patients
Cameron Park Counseling Center PastSince May 26, 2010 Accepting new patients

Locations

3330 Heights Dr
Ste 120
Cameron Park, CA 95682
Phone (530) 677-4404

970 Camerado Dr
Ste 200
Cameron Park, CA 95682
Phone (530) 677-4404

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1144439746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8813 ROUNDTABLE CT",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956286430",
            "telephone_number": "916-967-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 HEIGHTS DR",
            "address_2": "STE 120",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956827769",
            "telephone_number": "530-677-4404",
            "fax_number": "530-677-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIETO",
        "first_name": "FRANK",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS6919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cameron Park, CA

Sources for this page

Verify at the official NPI Registry.