Individual provider Active NPI

Vicki Ann Underwood, LCSW

  • Clinical Social Worker
  • Delano, CA
National Provider Identifier
1255596888
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
26598 Issued in CA
Practice address
3000 West Cecil Ave
Delano, CA 93216-6000
Phone
(661) 721-6300
NPI assigned
Jul 23, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 20357 CA
Clinical Social Worker 1041C0700X 26598 CA Primary

Addresses

Primary practice location

3000 West Cecil Ave
Delano, CA 93216-6000

Mailing address

1209 Calle Extrano
Bakersfield, CA 93309-7116
Phone (661) 619-1229

Other practice location 1

5558 California Ave Ste 100
Bakersfield, CA 93309-0710
Phone (661) 379-0173

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
26598CAMDDentist
20357CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tranquility Valley Wellness Clinical Social Work Corporation Current Accepting new patients

Locations

5558 California Ave
Ste 100
Bakersfield, CA 93309
Phone (661) 379-0173

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1255596888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 CALLE EXTRANO",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933097116",
            "telephone_number": "661-619-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 WEST CECIL AVE",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932166000",
            "telephone_number": "661-721-6300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5558 California Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933090710",
            "country_code": "US",
            "telephone_number": "661-379-0173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "VICKI",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-23",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "20357",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "26598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.