Active NPI
Vicki Ann Underwood, LCSW
- Clinical Social Worker
- Delano, CA
National Provider Identifier
1255596888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 26598
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 26598 | CA | MD | Dentist |
| 20357 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba Tranquility Valley Wellness
- Mental Health Counselor
- Bakersfield, CA
- NPI 1912586728
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.