Active NPI
Denham Counseling Center Inc
- Clinical Social Worker
- Vacaville, CA
National Provider Identifier
1366097495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- DENHAM COUNSELING CENTER INC
- Practice address
- 419 Elizabeth St Ste 5
Vacaville, CA 95688-4602 - Phone
- (707) 447-4453
- Fax
- (707) 447-1529
- NPI assigned
- Aug 6, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathryn R Denham, LCSW
- Title
- Owner
- Phone
- (707) 447-4453
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
419 Elizabeth St Ste 5
Vacaville, CA 95688-4602
Mailing address
796 Roscommon Dr
Vacaville, CA 95688-9258
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
419 Elizabeth St
Ste 5
Vacaville, CA 95688
Phone (707) 399-9540
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Vacaville, CA
- NPI 1881730513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1565049600000",
"number": "1366097495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "796 ROSCOMMON DR",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956889258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 ELIZABETH ST STE 5",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956884602",
"telephone_number": "707-447-4453",
"fax_number": "707-447-1529"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENHAM COUNSELING CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-06",
"last_updated": "2019-08-06",
"status": "A",
"authorized_official_last_name": "DENHAM",
"authorized_official_first_name": "KATHRYN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "707-447-4453",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vacaville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.