C.I.P.G.a.-Licensed Clinical Social Worker Inc. Prof. Corp.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LCS21093 Issued in CA

Legal business name

C.I.P.G.A.-LICENSED CLINICAL SOCIAL WORKER INC. PROF. CORP.

Practice address

419 Elizabeth St Ste 1
Vacaville, CA 95688-4602

Phone

(707) 567-1189

NPI assigned

Mar 25, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Barbara Bean-Jensen, LCSW

Title

Ceo/Secretary

Phone

(707) 567-1189

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Barbara Ann Bean-Runyon, LCSW

  • Mental Health Counselor
  • Vacaville, CA
  • NPI 1437201068
  Medicare reassignment NPD
• Marilyn Sue Schreiner, L.C.S.W.

  • Clinical Social Worker
  • Vacaville, CA
  • NPI 1548536824
  NPD (past)

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1396917837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 ELIZABETH ST STE 1",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884602",
            "telephone_number": "707-567-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 ELIZABETH ST STE 1",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884602",
            "telephone_number": "707-567-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.I.P.G.A.-LICENSED CLINICAL SOCIAL WORKER INC. PROF. CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "BEAN-JENSEN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "CEO/SECRETARY",
        "authorized_official_telephone_number": "707-567-1189",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "LCS21093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna T. Burton, D.D.S.
• Kaila Burton
• Amber Catherine Busay
• Sierra Butler, RBT
• C & a Medical Group Corp
• C&a Medical Transit
• Kayla Ray Cabanas
• Hazel Tan Cabras, RN
• Alyson Dominique Cabrera
• Janine Marel Cade

• Community/Behavioral Health Agency in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; 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.

Verify at the official NPI Registry.