Active NPI
Kathren Ann Meyers McCracken, RN, LCSW
- Clinical Social Worker
- Chico, CA
National Provider Identifier
1376877332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS 13687
- Practice address
- 478 E 2ND Ave
Chico, CA 95926-3452 - Phone
- (530) 343-9531
- NPI assigned
- Sep 23, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS 13687 | CA | Primary |
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 284029 | CA |
Addresses
Primary practice location
478 E 2ND Ave
Chico, CA 95926-3452
Mailing address
478 E 2ND Ave
Chico, CA 95926-3452
Phone (530) 343-9531
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 13687 | CA | MD | Clinical Social Worker |
| 284029 | CA | MD | Adult Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chico State Enterprises | 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Chico, CA
- NPI 1073754347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334880000000",
"number": "1376877332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "478 E 2ND AVE",
"city": "CHICO",
"state": "CA",
"postal_code": "959263452",
"telephone_number": "530-343-9531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "478 E 2ND AVE",
"city": "CHICO",
"state": "CA",
"postal_code": "959263452",
"telephone_number": "530-343-9531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYERS MCCRACKEN",
"first_name": "KATHREN",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "RN, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-23",
"last_updated": "2012-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS 13687",
"primary": true
},
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "CA",
"license": "284029",
"primary": false
}
],
"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 Apr 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.