Sue Ann Michi Takemoto, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS10897 Issued in CA

Practice address

2485 Old Eureka Way
Redding, CA 96001-0336

Phone

(530) 355-5131

Fax

(530) 244-1546

NPI assigned

Feb 20, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Michi Takemoto Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1780729533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 VILLAGE DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010907",
            "telephone_number": "530-241-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 OLD EUREKA WAY",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010336",
            "telephone_number": "530-355-5131",
            "fax_number": "530-244-1546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKEMOTO",
        "first_name": "SUE ANN",
        "middle_name": "MICHI",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS10897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHI",
            "last_name": "TAKEMOTO",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kyung-Ran Tae, OT/L
• James Ross Taggart, M.D
• Madisyn Riley Tagliaferri
• Parviz Tahmooressi, MD
• Hiromi Takano, D.O.
• Talk With Confidence Speech & Language Services, Inc
• Vicki Talladino, LCSW
• Edward W. Tam, M.D.
• Benjamin William Tanaka, PA
• Julie Anne Tankersley, PA-C

• Clinical Social Worker in Redding, CA
• Providers in Redding, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.