Individual provider Active NPI

Kathryn Mary Hughes, LCSW

  • Clinical Social Worker
  • Vacaville, CA
National Provider Identifier
1245384205
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS11328 Issued in CA
Practice address
3700 Vacavalley Parkway
Kaiser Vacaville Dept of Psychiatry
Vacaville, CA 94548
Phone
(707) 453-5341
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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 LCS11328 CA Primary

Addresses

Primary practice location

3700 Vacavalley Parkway
Kaiser Vacaville Dept of Psychiatry
Vacaville, CA 94548

Mailing address

240 Tamal Vista Blvd
Suite 162
Corte Madera, CA 94925-1132
Phone (415) 927-8138

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCS11328CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1245384205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 TAMAL VISTA BLVD",
            "address_2": "SUITE 162",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251132",
            "telephone_number": "415-927-8138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 VACAVALLEY PARKWAY",
            "address_2": "KAISER VACAVILLE DEPT OF PSYCHIATRY",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "94548",
            "telephone_number": "707-453-5341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "KATHRYN",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS11328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.