Active NPI
Michael James Painter, LCSW
- Clinical Social Worker
- Sacramento, CA
National Provider Identifier
1639771710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 92922
- Practice address
- 7001A East Pkwy Ste 500
Sacramento, CA 95823-2501 - Phone
- (916) 708-0398
- NPI assigned
- Nov 12, 2020
- 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 | 92922 | CA | Primary |
Addresses
Primary practice location
7001A East Pkwy Ste 500
Sacramento, CA 95823-2501
Mailing address
9161 Madison Ave Apt 39
Orangevale, CA 95662-5257
Phone (916) 899-9325
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
| License | State | Type | Specialty |
|---|---|---|---|
| 92922 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719360000000",
"number": "1639771710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9161 MADISON AVE APT 39",
"city": "ORANGEVALE",
"state": "CA",
"postal_code": "956625257",
"telephone_number": "916-899-9325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7001A EAST PKWY STE 500",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958232501",
"telephone_number": "916-708-0398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAINTER",
"first_name": "MICHAEL",
"middle_name": "JAMES",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-12",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "92922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.