Individual provider Active NPI

Vicki S. M. Rivera-Goin, LCSW

  • Clinical Social Worker
  • Sonoma, CA
National Provider Identifier
1689853400
Registry record updated Sep 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS23588 Issued in CA
Practice address
395 W Napa St Ste 3
Sonoma, CA 95476-6548
Phone
(707) 812-2547
NPI assigned
Oct 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2009

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 LCS23588 CA Primary

Addresses

Primary practice location

395 W Napa St Ste 3
Sonoma, CA 95476-6548

Mailing address

395 W Napa St Ste 3
Sonoma, CA 95476-6548
Phone (707) 812-2547

Other identifiers 2

IdentifierTypeStateIssuer
110000251OtherCASTATE LICENSE
FHC53855FMedicaidCA

Other names 1

  • Vicki S Torres Former name

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

LicenseStateTypeSpecialty
LCS23588CAMDClinical Social Worker
23588CAMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254096000000",
    "number": "1689853400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 W NAPA ST STE 3",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954766548",
            "telephone_number": "707-812-2547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 W NAPA ST STE 3",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954766548",
            "telephone_number": "707-812-2547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA-GOIN",
        "first_name": "VICKI",
        "middle_name": "S. M.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-29",
        "last_updated": "2009-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS23588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "110000251",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC53855F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICKI",
            "last_name": "TORRES",
            "middle_name": "S",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sonoma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; 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.