Individual provider Active NPI

Harold Stephen Draper, L.C.S.W.

  • Clinical Social Worker
  • Modesto, CA
National Provider Identifier
1184942245
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS21111 Issued in CA
Practice address
1015 12TH St
Ste.5
Modesto, CA 95354-0838
Phone
(209) 345-8966
Fax
(209) 522-2993
NPI assigned
May 12, 2010
Last updated
May 12, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2010

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 LCS21111 CA Primary

Addresses

Primary practice location

1015 12TH St
Ste.5
Modesto, CA 95354-0838

Mailing address

1015 12TH St
Ste.5
Modesto, CA 95354-0838
Phone (209) 345-8966

Other names 1

  • Mr. Harold Stephen Draper Professional name

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
LCS21111CAMDClinical Social Worker
21111CAMDChild & Adolescent Psychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273622400000",
    "number": "1184942245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 12TH ST",
            "address_2": "STE.5",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953540838",
            "telephone_number": "209-345-8966",
            "fax_number": "209-522-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 12TH ST",
            "address_2": "STE.5",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953540838",
            "telephone_number": "209-345-8966",
            "fax_number": "209-522-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAPER",
        "first_name": "HAROLD",
        "middle_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-12",
        "last_updated": "2010-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS21111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAROLD",
            "last_name": "DRAPER",
            "middle_name": "STEPHEN",
            "prefix": "MR.",
            "credential": "L.C.S.W",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.