Thrive Mind & Body, a Licensed Clinical Social Work Corporation

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THRIVE MIND & BODY, A LICENSED CLINICAL SOCIAL WORK CORPORATION

Practice address

2819 W March LN Ste B6-221
Stockton, CA 95219-8209

Phone

(415) 943-0340

NPI assigned

May 5, 2021

Organization subpart

No

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

Authorized official

Name

Isaura Rizzo, LCSW

Title

Ceo

Phone

(415) 943-0340

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Isaura Lucatero, M.S.W, L.C.S.W

  • Clinical Social Worker
  • Palo Alto, CA
  • NPI 1649670191
  NPD

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1316521479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2819 W MARCH LN STE B6-221",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952198209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 W MARCH LN STE B6-221",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952198209",
            "telephone_number": "415-943-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE MIND & BODY, A LICENSED CLINICAL SOCIAL WORK CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "RIZZO",
        "authorized_official_first_name": "ISAURA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-943-0340",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Stockton, CA
• Providers in Stockton, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.