Active NPI
Robert Matthews Tatum, LCSW
- Clinical Social Worker
- Paradise, CA
National Provider Identifier
1639243132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS19680
- Practice address
- 5579 De Sante LN
Paradise, CA 95969-6003 - Phone
- (530) 876-1332
- Fax
- (530) 876-1332
- NPI assigned
- Nov 17, 2006
- Sex
- Male
- Sole proprietor
- No
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 | LCS19680 | CA | Primary |
Addresses
Primary practice location
5579 De Sante LN
Paradise, CA 95969-6003
Mailing address
5579 De Sante LN
Paradise, CA 95969-6003
Phone (530) 876-1332
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19680 | Other | CA | LCS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS19680 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285113600000",
"number": "1639243132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5579 DE SANTE LN",
"city": "PARADISE",
"state": "CA",
"postal_code": "959696003",
"telephone_number": "530-876-1332",
"fax_number": "530-876-1332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5579 DE SANTE LN",
"city": "PARADISE",
"state": "CA",
"postal_code": "959696003",
"telephone_number": "530-876-1332",
"fax_number": "530-876-1332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATUM",
"first_name": "ROBERT",
"middle_name": "MATTHEWS",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2010-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS19680",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCS",
"identifier": "19680",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Paradise, CA
- Sunshine Homecare and Hospice of Butte County
- Sunshine Village of Paradise, a California Corporation (Sunshine Assisted Living - The Cottage)
- Jadie Joan Swietanski, FNP-BC
- Valerie Leigh Sykes, SLP
- Mikhai Cong Ta, DDS
- David Ralph Terstegen, COTA
- The Best Place for Moms LLC
- Thomas Stewart MD Inc
- Brandy Nicole Thomas
- Kathryn Lynette Thomas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.