Individual provider Active NPI

Pierrette Van Kleef

  • Clinical Social Worker
  • Red Bluff, CA
National Provider Identifier
1669897575
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
28050 Issued in CA
Practice address
590 Antelope Blvd Ste 40a
Red Bluff, CA 96080-2477
Phone
(530) 529-9454
Fax
(530) 529-9456
NPI assigned
Feb 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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 28050 CA Primary

Addresses

Primary practice location

590 Antelope Blvd Ste 40a
Red Bluff, CA 96080-2477

Mailing address

PO Box 950
Red Bluff, CA 96080-0950
Phone (530) 529-9454

Other identifiers 1

IdentifierTypeStateIssuer
1669897575OtherCANPI

Other names 1

  • Pia Van Kleef Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 530-529-9456 Other

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
28050CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
His Ideas, Inc CurrentSince Jul 4, 2021 Accepting new patients
His Ideas, Inc CurrentSince Oct 29, 2023 Accepting new patients

Locations

590 Antelope Blvd
Ste 40A
Red Bluff, CA 96080
Phone (530) 529-9454

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": "1393545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1669897575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960800950",
            "telephone_number": "530-529-9454",
            "fax_number": "530-529-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 ANTELOPE BLVD STE 40A",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960802477",
            "telephone_number": "530-529-9454",
            "fax_number": "530-529-9456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN KLEEF",
        "first_name": "PIERRETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-28",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "28050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1669897575",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "530-529-9456",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "530-529-9456",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Fax",
            "address_1": "590 Antelope Blvd Ste 40A",
            "city": "Red Bluff",
            "state": "CA",
            "country_code": "US",
            "postal_code": "960802477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "PIA",
            "last_name": "VAN KLEEF",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Red Bluff, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.