Individual provider Active NPI

Aven Lugh Armstrong-Sutton, MSW

  • Clinical Social Worker
  • Sacramento, CA
National Provider Identifier
1578837274
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
125826 Issued in CA
Practice address
3020 I St
Sacramento, CA 95816-3841
Phone
(279) 444-2146
NPI assigned
Feb 28, 2012
Last updated
Dec 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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 125826 CA Primary

Addresses

Primary practice location

3020 I St
Sacramento, CA 95816-3841

Mailing address

6722 Fair Oaks Blvd Ste 105
Carmichael, CA 95608-3812
Phone (249) 444-2146

Other names 1

  • Blair Garnett Wilson Former name

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
I20241216001067 CA Practitioner - Clinical Social Worker 5294261137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cares Community HealthGroup PAC ID 2769418151, 45 clinicians

Practice addresses (Care Compare)

1500 21St St
Sacramento, CA 95811-5216
Phone (916) 443-3299

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
125826CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cares Community Health CurrentSince Nov 27, 2024 Accepting new patients
Cares Community Health CurrentSince Nov 27, 2024 Accepting new patients
Wholehearted Community Services Clinical CurrentSince Dec 22, 2024 Accepting new patients

Locations

6722 Fair Oaks Blvd
Ste 105
Carmichael, CA 95608

1500 21st St
Sacramento, CA 95811
Phone (916) 443-3299

3020 I St
Sacramento, CA 95816
Phone (279) 444-2146

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1330387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1578837274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6722 FAIR OAKS BLVD STE 105",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956083812",
            "telephone_number": "249-444-2146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 I ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958163841",
            "telephone_number": "279-444-2146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMSTRONG-SUTTON",
        "first_name": "AVEN LUGH",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-28",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "125826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BLAIR",
            "last_name": "WILSON",
            "middle_name": "GARNETT",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.