Individual provider Active NPI

Maria Simi Padilla-Castro, LCSW

  • Clinical Social Worker
  • Sacramento, CA
National Provider Identifier
1386790780
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS19218 Issued in CA
Practice address
2829 Watt Ave
Suite 150
Sacramento, CA 95821-6200
Phone
(916) 979-3514
Fax
(916) 979-3502
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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 LCS19218 CA Primary

Addresses

Primary practice location

2829 Watt Ave
Suite 150
Sacramento, CA 95821-6200

Mailing address

2829 Watt Ave
Suite 150
Sacramento, CA 95821-6200
Phone (916) 979-3514

Other identifiers 1

IdentifierTypeStateIssuer
1386790780OtherCANPI

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
LCS19218CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1386790780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 WATT AVE",
            "address_2": "SUITE 150",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958216200",
            "telephone_number": "916-979-3514",
            "fax_number": "916-979-3502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 WATT AVE",
            "address_2": "SUITE 150",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958216200",
            "telephone_number": "916-979-3514",
            "fax_number": "916-979-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA-CASTRO",
        "first_name": "MARIA",
        "middle_name": "SIMI",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS19218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1386790780",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.