Individual provider Active NPI

Zariah Nancy Ricossa, LCSW

  • Clinical Social Worker
  • Cardiff, CA
National Provider Identifier
1720500960
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW11143 Issued in CA
Practice address
3459 Manchester Ave Apt 25
Cardiff, CA 92007-1525
Phone
(760) 815-4990
NPI assigned
Jul 10, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 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 LCSW11143 CA Primary

Addresses

Primary practice location

3459 Manchester Ave Apt 25
Cardiff, CA 92007-1525

Mailing address

1106 2ND St # 856
Encinitas, CA 92024-5008
Phone (760) 815-4990

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
I20170913002998 CA Practitioner - Clinical Social Worker 7315210382 Practice locations: Cardiff, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1106 2ND St
Suite 856
Encinitas, CA 92024-5008

3459 Manchester Ave
Apt 25
Cardiff, CA 92007-1525
Phone (760) 456-9326

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW11143CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Zariah N. Ricossa, LCSW CurrentSince Sep 5, 2023 Accepting new patients

Locations

1106 2nd St
Encinitas, CA 92024
Phone (760) 237-0026

Organizations & group practices 1

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": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1720500960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 2ND ST # 856",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245008",
            "telephone_number": "760-815-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3459 MANCHESTER AVE APT 25",
            "city": "CARDIFF",
            "state": "CA",
            "postal_code": "920071525",
            "telephone_number": "760-815-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICOSSA",
        "first_name": "ZARIAH",
        "middle_name": "NANCY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-10",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW11143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cardiff, CA

Sources for this page

Verify at the official NPI Registry.