Active NPI
Lucia Nelson
- Social Worker
- Stockton, CA
National Provider Identifier
1417072000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1755 W Hammer LN Ste 8
Stockton, CA 95209-2900 - Phone
- (209) 444-8910
- Fax
- (209) 444-8905
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
1755 W Hammer LN Ste 8
Stockton, CA 95209-2900
Mailing address
1755 W Hammer LN Ste 8
Stockton, CA 95209-2900
Phone (209) 444-8910
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Concilio | 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
- Stockton, CA
- NPI 1194001941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339632000000",
"number": "1417072000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1755 W HAMMER LN STE 8",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952092900",
"telephone_number": "209-444-8910",
"fax_number": "209-444-8905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1755 W HAMMER LN STE 8",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952092900",
"telephone_number": "209-444-8910",
"fax_number": "209-444-8905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "LUCIA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2012-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.