Marcy R. Vayder, M.S.W., L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

23058 Issued in CA

Practice address

1784 Picasso Ave
Suite a
Davis, CA 95618-0551

Phone

(530) 756-7542

Fax

(530) 756-2931

NPI assigned

May 22, 2007

Last updated

May 21, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Marcy Rene Hixson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Suicide Prevention of Yolo County

  • Community/Behavioral Health Agency
  • Davis, CA
  • NPI 1154449791
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1467661769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 622",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956170622",
            "telephone_number": "530-756-7542",
            "fax_number": "916-875-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1784 PICASSO AVE",
            "address_2": "SUITE A",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956180551",
            "telephone_number": "530-756-7542",
            "fax_number": "530-756-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAYDER",
        "first_name": "MARCY",
        "middle_name": "R.",
        "name_prefix": "Mrs.",
        "credential": "M.S.W., L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "23058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCY",
            "last_name": "HIXSON",
            "middle_name": "RENE",
            "prefix": "MISS",
            "credential": "S.W.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alyssa Hannah Vargas
• Lisa Kay Varnum
• Julissa Nayeli Vasquez Ramirez
• Sara Vasquez
• Jesse Franklin Vaughn, FNP
• Kate Vazquez
• Maura Daniela Velez
• Scott Vermeulen, C.O.
• Julie D. Vice
• Christie Vick

• Clinical Social Worker in Davis, CA
• Providers in Davis, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.