Individual provider Active NPI

Gabrielle Flores

  • Clinical Social Worker
  • Willows, CA
National Provider Identifier
1659825370
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
100959 Issued in CA
Practice address
242 N Villa Ave
Willows, CA 95988-2641
Phone
(530) 934-6582
NPI assigned
Aug 10, 2016
Last updated
Nov 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X 100959 CA Primary

Addresses

Primary practice location

242 N Villa Ave
Willows, CA 95988-2641

Mailing address

242 N Villa Ave
Willows, CA 95988-2641
Phone (530) 934-6582

Other practice location 1

5910 Clark Rd Ste W
Paradise, CA 95969-4860
Phone (530) 872-6328

Other practice location 2

1360 E Lassen Ave
Chico, CA 95973-7823
Phone (530) 267-1700

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
I20210902001103 CA Practitioner - Clinical Social Worker 6608272414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
County of GlennGroup PAC ID 9739341074, 8 clinicians

Practice addresses (Care Compare)

242 N Villa Ave
Willows, CA 95988-2641
Phone (530) 934-6347

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
100959CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Glenn CurrentSince Jul 1, 2021 Accepting new patients
County of Glenn Current Accepting new patients
Butte County Department of Behavioral Heath Past Accepting new patients

Locations

242 N Villa Ave
Willows, CA 95988
Phone (530) 934-6347

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": "1470787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1659825370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 N VILLA AVE",
            "city": "WILLOWS",
            "state": "CA",
            "postal_code": "959882641",
            "telephone_number": "530-934-6582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 N VILLA AVE",
            "city": "WILLOWS",
            "state": "CA",
            "postal_code": "959882641",
            "telephone_number": "530-934-6582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5910 Clark Rd Ste W",
            "address_purpose": "LOCATION",
            "city": "Paradise",
            "state": "CA",
            "postal_code": "959694860",
            "country_code": "US",
            "telephone_number": "530-872-6328",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1360 E Lassen Ave",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959737823",
            "country_code": "US",
            "telephone_number": "530-267-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORES",
        "first_name": "GABRIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-10",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "100959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willows, CA

Sources for this page

Verify at the official NPI Registry.