Individual provider Active NPI

Rita Zito, L.C.S.W.

  • Clinical Social Worker
  • Eureka, CA
National Provider Identifier
1710331251
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW68913 Issued in CA
Practice address
3172 Walford Ave Ste 1
Eureka, CA 95503-4898
Phone
(707) 599-0822
Fax
(707) 269-0651
NPI assigned
Apr 21, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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 LCSW68913 CA Primary

Addresses

Primary practice location

3172 Walford Ave Ste 1
Eureka, CA 95503-4898

Mailing address

PO Box 452
Cutten, CA 95534-9900
Phone (707) 599-0822

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
I20160802002647 CA Practitioner - Clinical Social Worker 7517251366 Practice locations: Eureka, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6151 Gardinia LN
Eureka, CA 95503-6698
Phone (707) 599-0822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW68913CAMDClinical Social Worker
68913CAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1710331251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 452",
            "city": "CUTTEN",
            "state": "CA",
            "postal_code": "955349900",
            "telephone_number": "707-599-0822",
            "fax_number": "707-269-0651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3172 WALFORD AVE STE 1",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034898",
            "telephone_number": "707-599-0822",
            "fax_number": "707-269-0651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZITO",
        "first_name": "RITA",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-21",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW68913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

Verify at the official NPI Registry.