Individual provider Active NPI

Ta'Shanne Watu Horn

  • Clinical Social Worker
  • Chico, CA
National Provider Identifier
1568620342
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW89313 Issued in CA
Practice address
572 Rio Lindo Ave Ste 203
Chico, CA 95926-1851
Phone
(530) 815-4328
Fax
(530) 636-4772
NPI assigned
May 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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 LCSW89313 CA Primary

Addresses

Primary practice location

572 Rio Lindo Ave Ste 203
Chico, CA 95926-1851

Mailing address

PO Box 8959
Chico, CA 95927-8959
Phone (530) 815-4328

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190802000044 CA Practitioner - Clinical Social Worker 9436485109 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

80 Independence Cir
Suite 220
Chico, CA 95973-0288
Phone (530) 815-4328

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW89313CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ta Shanne Horn Licensed Clinical Social Worker Inc Clinical CurrentSince Aug 15, 2023 Accepting new patients
Nysa Therapy Inc Clinical CurrentSince Jun 9, 2019 Accepting new patients

Locations

572 Rio Lindo Ave
Ste 203
Chico, CA 95926
Phone (530) 680-0849

80 Independence Cir
Ste 220
Chico, CA 95973
Phone (530) 513-4208

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1568620342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8959",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959278959",
            "telephone_number": "530-815-4328",
            "fax_number": "530-636-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 RIO LINDO AVE STE 203",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959261851",
            "telephone_number": "530-815-4328",
            "fax_number": "530-636-4772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORN",
        "first_name": "TA'SHANNE",
        "middle_name": "WATU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-28",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW89313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.