Individual provider Active NPI

Karen Vicuna, LCSW

  • Clinical Social Worker
  • Chico, CA
National Provider Identifier
1457522757
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS22024 Issued in CA
Practice address
2261 Saint George LN Ste E
Chico, CA 95926-1372
Phone
(530) 518-6435
NPI assigned
Mar 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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 LCS22024 CA Primary

Addresses

Primary practice location

2261 Saint George LN Ste E
Chico, CA 95926-1372

Mailing address

3299 Sespe Creek Way
Chico, CA 95973-8378
Phone (530) 518-6435

Other practice location 1

7 Governors Ln
Chico, CA 95926-1990
Phone (530) 267-1711

Other practice location 2

2251 Saint George Ln Ste E
Chico, CA 95926-1359
Phone (530) 518-6435

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

State licenses

LicenseStateTypeSpecialty
LCS22024CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1457522757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3299 SESPE CREEK WAY",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959738378",
            "telephone_number": "530-518-6435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2261 SAINT GEORGE LN STE E",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959261372",
            "telephone_number": "530-518-6435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Governors Ln",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959261990",
            "country_code": "US",
            "telephone_number": "530-267-1711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2251 Saint George Ln Ste E",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959261359",
            "country_code": "US",
            "telephone_number": "530-518-6435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VICUNA",
        "first_name": "KAREN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-14",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS22024",
            "primary": true
        }
    ],
    "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 6, 2020; 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.