Individual provider Active NPI

Naomi Babcock

  • Clinical Social Worker
  • Costa Mesa, CA
National Provider Identifier
1619004736
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12225 Issued in AZ
Practice address
2900 Bristol St Ste E103
Costa Mesa, CA 92626-7906
Phone
(714) 814-3336
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 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 12225 AZ Primary

Addresses

Primary practice location

2900 Bristol St Ste E103
Costa Mesa, CA 92626-7906

Mailing address

1006 Katama Bay Dr
Costa Mesa, CA 92627-9030
Phone (714) 814-3336

Other practice location 1

1006 Katama Bay Dr
Costa Mesa, CA 92627-9030
Phone (714) 814-3336

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
12225AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Wisdom Psychotherapy Assoc., Inc CurrentSince Apr 5, 2020 Accepting new patients
Inner Wisdom Psychotherapy Assoc., Inc Clinical CurrentSince Apr 30, 2023 Accepting new patients

Locations

2900 Bristol St
Ste E103
Costa Mesa, CA 92626
Phone (714) 331-7200

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1619004736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 KATAMA BAY DR",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926279030",
            "telephone_number": "714-814-3336",
            "fax_number": "602-467-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 BRISTOL ST STE E103",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926267906",
            "telephone_number": "714-814-3336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1006 Katama Bay Dr",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926279030",
            "country_code": "US",
            "telephone_number": "714-814-3336",
            "fax_number": "602-467-3069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BABCOCK",
        "first_name": "NAOMI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2023-04-26",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "12225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.