Individual provider Active NPI

Giovanna Pagano, LCSW

  • Clinical Social Worker
  • Fort Bragg, CA
National Provider Identifier
1295852242
Registry record updated Mar 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW22285 Issued in CA
Practice address
327 E Redwood Ave Ste D
Fort Bragg, CA 95437-3550
Phone
(707) 734-0504
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2018

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 LCS22285 CA
Clinical Social Worker 1041C0700X LCSW22285 CA Primary

Addresses

Primary practice location

327 E Redwood Ave Ste D
Fort Bragg, CA 95437-3550

Mailing address

PO Box 272
Little River, CA 95456-0272
Phone (707) 734-0504

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
I20180329002074 CA Practitioner - Clinical Social Worker 7416219571 Practice locations: Fort Bragg, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

327 E Redwood Ave
Suite D
Fort Bragg, CA 95437-3550
Phone (707) 734-0504

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS22285CAMDClinical Social Worker
LCSW22285CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Giovanna Pagano LCSW CurrentSince Mar 15, 2018 Accepting new patients

Locations

327 E Redwood Ave
Ste D
Fort Bragg, CA 95437
Phone (707) 472-7937

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520467200000",
    "number": "1295852242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 272",
            "city": "LITTLE RIVER",
            "state": "CA",
            "postal_code": "954560272",
            "telephone_number": "707-734-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 E REDWOOD AVE STE D",
            "city": "FORT BRAGG",
            "state": "CA",
            "postal_code": "954373550",
            "telephone_number": "707-734-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGANO",
        "first_name": "GIOVANNA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2018-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS22285",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW22285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Bragg, CA

Sources for this page

Verify at the official NPI Registry.