Individual provider Active NPI

Donald Thomas Chipp, LCSW

  • Clinical Social Worker
  • Sacramento, CA
National Provider Identifier
1215005970
Registry record updated Aug 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L #8602 Issued in CA
Practice address
2399 American River Dr
Ste. 8
Sacramento, CA 95825-7070
Phone
(916) 482-4194
Fax
(916) 974-1867
NPI assigned
Dec 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2014

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 L #8602 CA Primary

Addresses

Primary practice location

2399 American River Dr
Ste. 8
Sacramento, CA 95825-7070

Mailing address

2399 American River Dr
Ste. 8
Sacramento, CA 95825-7070
Phone (916) 482-4194

Other names 1

  • Thomas Chipp Professional name

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
I20140819000602 CA Practitioner - Clinical Social Worker 1850518606 Practice locations: Sacramento, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

650 University Ave
Suite 220
Sacramento, CA 95825-6726
Phone (916) 482-4194

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L #8602CAMDClinical Social Worker
8602CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408665600000",
    "number": "1215005970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2399 AMERICAN RIVER DR",
            "address_2": "STE. 8",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958257070",
            "telephone_number": "916-482-4194",
            "fax_number": "916-974-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2399 AMERICAN RIVER DR",
            "address_2": "STE. 8",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958257070",
            "telephone_number": "916-482-4194",
            "fax_number": "916-974-1867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIPP",
        "first_name": "DONALD",
        "middle_name": "THOMAS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2014-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "L #8602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THOMAS",
            "last_name": "CHIPP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.