Individual provider Active NPI

Leticia Vasquez-Zurita, LCSW

  • Clinical Social Worker
  • Modesto, CA
National Provider Identifier
1245652379
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
111750 Issued in CA
Practice address
1006 H St Ste a-1
Modesto, CA 95354-2384
Phone
(209) 332-4687
Fax
(209) 680-3551
NPI assigned
Jan 8, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Case Manager/Care Coordinator 171M00000X
Clinical Social Worker 1041C0700X 111750 CA Primary

Addresses

Primary practice location

1006 H St Ste a-1
Modesto, CA 95354-2384

Mailing address

1006 H St Ste a-1
Modesto, CA 95354-2384
Phone (209) 332-4687

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hello@lluviadesol.sprucecare.com Direct

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
I20240208001445 CA Practitioner - Clinical Social Worker 0749623593 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111750CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lumira Healthcare CurrentSince Dec 24, 2023 Accepting new patients
Lumira Healthcare CurrentSince Dec 24, 2023 Accepting new patients
Lumira Healthcare Current Accepting new patients
Lumira Healthcare PastSince Aug 1, 2020 Accepting new patients

Locations

7970 Lander Ave
Ste Ab
Hilmar, CA 95324
Phone (209) 262-1819

2412 3rd St
Hughson, CA 95326
Phone (209) 558-7250

600 B St
Ste B
Livingston, CA 95334
Phone (209) 850-3500

1140 Main St
Livingston, CA 95334
Phone (209) 394-7913

2116 E Orangeburg Ave
Modesto, CA 95355
Phone (209) 529-1709

800 Delbon Ave
Turlock, CA 95382
Phone (209) 664-8000

12619 Bentley St
Waterford, CA 95386
Phone (209) 442-6200

Interoperability endpoints

  • Direct secure messaging: leticia.vasquez.p3@direct.livingstoncommunity.nextgenshare.com

Organizations & group practices 4

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": "1389139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1245652379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 H ST STE A-1",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953542384",
            "telephone_number": "209-332-4687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 H ST STE A-1",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953542384",
            "telephone_number": "209-332-4687",
            "fax_number": "209-680-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ-ZURITA",
        "first_name": "LETICIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-08",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "111750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hello@lluviadesol.sprucecare.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1006 H St Ste A-1",
            "city": "Modesto",
            "state": "CA",
            "country_code": "US",
            "postal_code": "953542384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.