Individual provider Active NPI

Victoria Louise Tullius, LCSW

  • Clinical Social Worker
  • Chico, CA
National Provider Identifier
1316970718
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS13484 Issued in CA
Practice address
341 Broadway St
Suite 221
Chico, CA 95928-5342
Phone
(530) 342-2558
Fax
(530) 342-2558
NPI assigned
Jul 8, 2006
Reactivated
Sep 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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 LCS13484 CA Primary

Addresses

Primary practice location

341 Broadway St
Suite 221
Chico, CA 95928-5342

Mailing address

PO Box 4098
Chico, CA 95927-4098
Phone (530) 342-2558

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
13484CAMDAddiction (Substance Use Disorder) Counselor
LCS13484CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1316970718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4098",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959274098",
            "telephone_number": "530-342-2558",
            "fax_number": "530-342-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 BROADWAY ST",
            "address_2": "SUITE 221",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959285342",
            "telephone_number": "530-342-2558",
            "fax_number": "530-342-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULLIUS",
        "first_name": "VICTORIA",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2019-09-11",
        "deactivation_date": "2019-02-27",
        "reactivation_date": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS13484",
            "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 Sep 11, 2019; 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.