Active NPI
Michelle D Clisby, MSW
- Social Worker
- Oxnard, CA
National Provider Identifier
1386841534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ASW 17598
- Practice address
- 2480 Redwing LN
Oxnard, CA 93036-6254 - Phone
- (805) 485-7172
- Fax
- (805) 988-2941
- NPI assigned
- Jun 29, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | ASW 17598 | CA | Primary |
Addresses
Primary practice location
2480 Redwing LN
Oxnard, CA 93036-6254
Mailing address
2480 Redwing LN
Oxnard, CA 93036-6254
Phone (805) 485-7172
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 |
|---|---|---|---|
| ASW 17598 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386841534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2480 REDWING LN",
"city": "OXNARD",
"state": "CA",
"postal_code": "930366254",
"telephone_number": "805-485-7172",
"fax_number": "805-988-2941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2480 REDWING LN",
"city": "OXNARD",
"state": "CA",
"postal_code": "930366254",
"telephone_number": "805-485-7172",
"fax_number": "805-988-2941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLISBY",
"first_name": "MICHELLE",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW 17598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oxnard, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.