Active NPI
Jamie Lorn Baudizzon, THERAPIST
- Clinical Social Worker
- Redding, CA
National Provider Identifier
1194936591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS17258
- Practice address
- 1933 Market St
Suite C
Redding, CA 96001-1929 - Phone
- (530) 241-9276
- Fax
- (530) 241-0114
- NPI assigned
- May 25, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS17258 | CA | Primary |
Addresses
Primary practice location
1933 Market St
Suite C
Redding, CA 96001-1929
Mailing address
PO Box 990073
Redding, CA 96099-0073
Phone (530) 241-9276
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCS17258 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Associates Network | Clinical | Current | Accepting new patients |
| Therapy Associates | Clinical | Past | Accepting new patients |
Locations
1933 Market St
Ste C
Redding, CA 96001
Phone (530) 232-5331
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.
-
- Clinical Psychologist
- Redding, CA
- NPI 1811105018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697760000000",
"number": "1194936591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 990073",
"city": "REDDING",
"state": "CA",
"postal_code": "960990073",
"telephone_number": "530-241-9276",
"fax_number": "530-241-0114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1933 MARKET ST",
"address_2": "SUITE C",
"city": "REDDING",
"state": "CA",
"postal_code": "960011929",
"telephone_number": "530-241-9276",
"fax_number": "530-241-0114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUDIZZON",
"first_name": "JAMIE",
"middle_name": "LORN",
"name_prefix": "Mr.",
"credential": "THERAPIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-25",
"last_updated": "2023-10-20",
"certification_date": "2023-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS17258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.