NPIMap

Organization Active NPI

Livity Treatment Center

  • Clinical Social Worker
  • Carmichael, CA
National Provider Identifier
1790115871
Registry record updated Nov 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
27742 Issued in CA
Legal business name
LIVITY TREATMENT CENTER
Practice address
7200 Fair Oaks Blvd
Suite 100
Carmichael, CA 95608-6454
Phone
(916) 426-6009
Fax
(916) 426-6009
NPI assigned
Nov 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2013

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

Authorized official

Name
Mark Gibson, LCSWNPI 1215211008
Title
Owner
Phone
(916) 426-6009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 27742 CA Primary

Addresses

Primary practice location

7200 Fair Oaks Blvd
Suite 100
Carmichael, CA 95608-6454

Mailing address

7200 Fair Oaks Blvd
Suite 100
Carmichael, CA 95608-6454
Phone (916) 426-6009

National Provider Directory

National Provider Directory

Locations

7200 Fair Oaks Blvd
Ste 100
Carmichael, CA 95608
Phone (916) 426-6009

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1790115871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 FAIR OAKS BLVD",
            "address_2": "SUITE 100",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956086454",
            "telephone_number": "916-426-6009",
            "fax_number": "916-426-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 FAIR OAKS BLVD",
            "address_2": "SUITE 100",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956086454",
            "telephone_number": "916-426-6009",
            "fax_number": "916-426-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVITY TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-26",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-426-6009",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "27742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; 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.