Active NPI
Tamara Volkov
- Clinical Social Worker
- Susanville, CA
National Provider Identifier
1679892368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW66159
- Practice address
- 475-750 Rice Canyon Rd
Susanville, CA 96130-3839 - Phone
- (530) 251-5100
- NPI assigned
- May 20, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | LCSW66159 | CA | Primary |
Addresses
Primary practice location
475-750 Rice Canyon Rd
Susanville, CA 96130-3839
Mailing address
PO Box 270657
Susanville, CA 96127-0012
Phone (714) 357-7420
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 |
|---|---|---|---|
| LCSW66159 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652659200000",
"number": "1679892368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 270657",
"city": "SUSANVILLE",
"state": "CA",
"postal_code": "961270012",
"telephone_number": "714-357-7420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475-750 RICE CANYON RD",
"city": "SUSANVILLE",
"state": "CA",
"postal_code": "961303839",
"telephone_number": "530-251-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOLKOV",
"first_name": "TAMARA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-20",
"last_updated": "2022-05-16",
"certification_date": "2022-04-27",
"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": "LCSW66159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Susanville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.