Active NPI
Zachary Jacob Stevens, LCSW
- Clinical Social Worker
- Eureka, CA
National Provider Identifier
1326563065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW83047
- Practice address
- 720 Wood St
Eureka, CA 95501 - Phone
- (707) 268-2990
- NPI assigned
- Aug 3, 2017
- Last updated
- Jun 29, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 34229 | CA | |
| Clinical Social Worker | 1041C0700X | ASW34229 | CA | |
| Clinical Social Worker | 1041C0700X | LCSW83047 | CA | Primary |
Addresses
Primary practice location
720 Wood St
Eureka, CA 95501
Mailing address
720 Wood St
Eureka, CA 95501-4413
Phone (707) 268-2990
Other practice location 1
727 Cedar St
Garberville, CA 95542-3201
Phone (707) 599-8633
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
| License | State | Type | Specialty |
|---|---|---|---|
| ASW34229 | CA | MD | Clinical Social Worker |
| LCSW83047 | CA | MD | Clinical Social Worker |
| 34229 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Humboldt County Behavioral Health | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Garberville Outpatient Clinic
- Community/Behavioral Health Agency
- Garberville, CA
- NPI 1144348897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530230400000",
"number": "1326563065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 WOOD ST",
"city": "EUREKA",
"state": "CA",
"postal_code": "955014413",
"telephone_number": "707-268-2990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 WOOD ST",
"city": "EUREKA",
"state": "CA",
"postal_code": "95501",
"telephone_number": "707-268-2990"
}
],
"practiceLocations": [
{
"address_1": "727 Cedar St",
"address_purpose": "LOCATION",
"city": "Garberville",
"state": "CA",
"postal_code": "955423201",
"country_code": "US",
"telephone_number": "707-599-8633",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEVENS",
"first_name": "ZACHARY",
"middle_name": "JACOB",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-03",
"last_updated": "2018-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "34229",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW34229",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW83047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.