Individual provider Active NPI

Aimee Comstock, LMSW

  • Clinical Social Worker
  • Tracy, CA
National Provider Identifier
1316394182
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW89091 Issued in CA
Practice address
359 W 11TH St # a
Tracy, CA 95376-3862
Phone
(209) 407-4867
Fax
(209) 740-4926
NPI assigned
May 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LMSW-15322 AZ
Clinical Social Worker 1041C0700X ASW70789 CA
Clinical Social Worker 1041C0700X LCSW89091 CA Primary

Addresses

Primary practice location

359 W 11TH St # a
Tracy, CA 95376-3862

Mailing address

PO Box 884
French Camp, CA 95231-0884
Phone (209) 407-4867

Other practice location 1

7777 E Freedom Rd
French Camp, CA 95231-9694
Phone (209) 946-3400

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

LicenseStateTypeSpecialty
LMSW-15322AZMDClinical Social Worker
ASW70789CAMDClinical Social Worker
LCSW89091CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1316394182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 884",
            "city": "FRENCH CAMP",
            "state": "CA",
            "postal_code": "952310884",
            "telephone_number": "209-407-4867",
            "fax_number": "209-740-4926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 W 11TH ST # A",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763862",
            "telephone_number": "209-407-4867",
            "fax_number": "209-740-4926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7777 E Freedom Rd",
            "address_purpose": "LOCATION",
            "city": "French Camp",
            "state": "CA",
            "postal_code": "952319694",
            "country_code": "US",
            "telephone_number": "209-946-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COMSTOCK",
        "first_name": "AIMEE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-20",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LMSW-15322",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW70789",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW89091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.