Barbara Jeam Wacker, ACSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

ACSW 18962 Issued in CA

Practice address

600 A St
Davis, CA 95616-3649

Phone

(530) 757-5534

Fax

(530) 757-5533

NPI assigned

Mar 12, 2007

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598897688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 IRMA WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958253506",
            "telephone_number": "916-568-7318",
            "fax_number": "530-757-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 A ST",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956163649",
            "telephone_number": "530-757-5534",
            "fax_number": "530-757-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACKER",
        "first_name": "BARBARA",
        "middle_name": "JEAM",
        "credential": "ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ACSW 18962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACSW NUMBER",
            "identifier": "18962",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.