Individual provider Active NPI

Helene Iris Stovall, LCSW

  • Clinical Social Worker
  • Redding, CA
National Provider Identifier
1780877498
Registry record updated Aug 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS16302 Issued in CA
Practice address
2485 Old Eureka Way
Redding, CA 96001-0336
Phone
(530) 242-8971
Fax
(530) 244-1546
NPI assigned
Aug 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2007

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 LCS16302 CA Primary

Addresses

Primary practice location

2485 Old Eureka Way
Redding, CA 96001-0336

Mailing address

2485 Old Eureka Way
Redding, CA 96001-0336
Phone (530) 242-8971

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
I20050523000219 CA Practitioner - Clinical Social Worker 6406897289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
May accept Medicare assignment
Group practices
Hill Country Community ClinicGroup PAC ID 1052442175, 19 clinicians

Practice addresses (Care Compare)

29632 E Hwy 299
Round Mountain, CA 96084-8000
Phone (530) 337-5750

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Country Community Clinic CurrentSince Jan 2, 2024 Accepting new patients

Locations

29632 E Highway 299
Round Mtn, CA 96084
Phone (530) 337-5750

Organizations & group practices 2

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": "1188086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188086400000",
    "number": "1780877498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2485 OLD EUREKA WAY",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010336",
            "telephone_number": "530-242-8971",
            "fax_number": "530-244-1546"
        },
        {
            "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": "530-242-8971",
            "fax_number": "530-244-1546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOVALL",
        "first_name": "HELENE",
        "middle_name": "IRIS",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-26",
        "last_updated": "2007-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS16302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.