Individual provider Active NPI

Nicole Mouer Kessler, LCSW

  • Clinical Social Worker
  • Chico, CA
National Provider Identifier
1265796783
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
94464 Issued in CA
Practice address
15 Williamsburg LN Ste a
Chico, CA 95926-5520
Phone
(530) 433-9544
NPI assigned
Jun 29, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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 94464 CA Primary

Addresses

Primary practice location

15 Williamsburg LN Ste a
Chico, CA 95926-5520

Mailing address

PO Box 634
Chico, CA 95927-0634
Phone (310) 339-1042

Other names 1

  • Nicole Mouer Former 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
I20220506001981 CA Practitioner - Clinical Social Worker 6709263056 Practice locations: Chico, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15 Williamsburg LN
Suite a
Chico, CA 95926-5520
Phone (530) 433-9544

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1265796783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 634",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959270634",
            "telephone_number": "310-339-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 WILLIAMSBURG LN STE A",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959265520",
            "telephone_number": "530-433-9544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESSLER",
        "first_name": "NICOLE",
        "middle_name": "MOUER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-29",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "94464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "MOUER",
            "credential": "MSW, ASW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.