Individual provider Active NPI

Nancy E Tinajero, ASW

  • Clinical Social Worker
  • West Sacramento, CA
National Provider Identifier
1487123642
Registry record updated Nov 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
75085 Issued in CA
Practice address
2101 Stone Blvd Ste 175
West Sacramento, CA 95691-4055
Phone
(916) 425-7733
Fax
(916) 372-2466
NPI assigned
Nov 17, 2018
Last updated
Nov 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2018

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 75085 CA Primary

Addresses

Primary practice location

2101 Stone Blvd Ste 175
West Sacramento, CA 95691-4055

Mailing address

2101 Stone Blvd Ste 175
West Sacramento, CA 95691-4055
Phone (916) 425-7733

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
75085CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1542412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542412800000",
    "number": "1487123642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 STONE BLVD STE 175",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956914055",
            "telephone_number": "916-425-7733",
            "fax_number": "916-372-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 STONE BLVD STE 175",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956914055",
            "telephone_number": "916-425-7733",
            "fax_number": "916-372-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINAJERO",
        "first_name": "NANCY",
        "middle_name": "E",
        "credential": "ASW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-17",
        "last_updated": "2018-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "75085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2018; 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.