Individual provider Active NPI

Nichole C. Wofford, LMFT, MSW

  • Marriage & Family Therapist
  • Sacramento, CA
National Provider Identifier
1790716868
Registry record updated Dec 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 35159 Issued in CA
Practice address
1330 Q St
Sacramento, CA 95811-5705
Phone
(916) 733-2155
Fax
(916) 686-9663
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 35159 CA Primary

Addresses

Primary practice location

1330 Q St
Sacramento, CA 95811-5705

Mailing address

PO Box 1981
Elk Grove, CA 95759-1981
Phone (916) 733-2155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20231011000202 MA Practitioner - Clinical Social Worker 2668827619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hilltown Community Health Centers IncGroup PAC ID 7315830148, 22 clinicians

Practice addresses (Care Compare)

73 Russell Rd
Huntington, MA 01050-9777
Phone (413) 667-3009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC 35159CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hilltown Community Health Centers, Inc. CurrentSince Aug 14, 2023 Accepting new patients
Hilltown Community Health Centers, Inc. CurrentSince Aug 14, 2023 Accepting new patients

Locations

58 Old North Rd
Worthington, MA 01098
Phone (413) 238-5511

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293667200000",
    "number": "1790716868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1981",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957591981",
            "telephone_number": "916-733-2155",
            "fax_number": "916-686-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 Q ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958115705",
            "telephone_number": "916-733-2155",
            "fax_number": "916-686-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOFFORD",
        "first_name": "NICHOLE",
        "middle_name": "C.",
        "name_prefix": "Ms.",
        "credential": "LMFT, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2010-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 35159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.