Active NPI
Quincy Tatum
- Clinical Social Worker
- Chico, CA
National Provider Identifier
1295278828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 150.117736
- Practice address
- 1601 Concord Ave
Chico, CA 95928-9487 - Phone
- (530) 879-5000
- NPI assigned
- Nov 30, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 150.117736 | IL | Primary |
Addresses
Primary practice location
1601 Concord Ave
Chico, CA 95928-9487
Mailing address
55 Tehama St
Orland, CA 95963-1444
Phone (530) 332-0728
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
| License | State | Type | Specialty |
|---|---|---|---|
| 150.117736 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761177600000",
"number": "1295278828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 TEHAMA ST",
"city": "ORLAND",
"state": "CA",
"postal_code": "959631444",
"telephone_number": "530-332-0728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 CONCORD AVE",
"city": "CHICO",
"state": "CA",
"postal_code": "959289487",
"telephone_number": "530-879-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATUM",
"first_name": "QUINCY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-11-30",
"last_updated": "2025-10-23",
"certification_date": "2025-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "150.117736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.