Active NPI
Cecilia I McPherson, L.C.S.W.
- Clinical Social Worker
- San Andreas, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW 67593
- Practice address
- 23 W St Charles St
San Andreas, CA 95249 - Phone
- (209) 419-0167
- Fax
- (888) 707-2984
- NPI assigned
- Oct 25, 2015
- Last updated
- Mar 14, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW 67593 | CA | Primary |
Addresses
Primary practice location
23 W St Charles St
San Andreas, CA 95249
Mailing address
PO Box 5153
Bear Valley, CA 95223-5153
Phone (209) 419-0167
Other practice location 1
1113 Highway 49
San Andreas, CA 95249-9583
Phone (209) 755-1400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
590 Stanislaus Ave
Angels Camp, CA 95222-9355
Phone (209) 736-0813
768 Mountain Ranch Rd
San Andreas, CA 95249-9707
Phone (209) 754-3521
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW 67593 | CA | MD | Clinical Social Worker |
| 67593 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark Twain Medical Center | Current | Accepting new patients |
Locations
12140 New York Ranch Rd
Jackson, CA 95642
Phone (209) 257-2400
768 Mountain Ranch Rd
San Andreas, CA 95249
Phone (209) 464-6422
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital
- San Andreas, CA
- NPI 1508968819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710374400000",
"number": "1558733972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5153",
"city": "BEAR VALLEY",
"state": "CA",
"postal_code": "952235153",
"telephone_number": "209-419-0167",
"fax_number": "888-707-2984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 W ST CHARLES ST",
"city": "SAN ANDREAS",
"state": "CA",
"postal_code": "95249",
"telephone_number": "209-419-0167",
"fax_number": "888-707-2984"
}
],
"practiceLocations": [
{
"address_1": "1113 Highway 49",
"address_purpose": "LOCATION",
"city": "San Andreas",
"state": "CA",
"postal_code": "952499583",
"country_code": "US",
"telephone_number": "209-755-1400",
"fax_number": "209-755-1430",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCPHERSON",
"first_name": "CECILIA",
"middle_name": "I",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-25",
"last_updated": "2024-03-14",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW 67593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Andreas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.