Organization Active NPI

Giovanna Pagano LCSW

  • Community/Behavioral Health Agency
  • Fort Bragg, CA
National Provider Identifier
1821598392
Registry record updated Mar 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LCSW22285 Issued in CA
Legal business name
GIOVANNA PAGANO LCSW
Practice address
327 E Redwood Ave Ste D
Fort Bragg, CA 95437-3550
Phone
(707) 734-0504
NPI assigned
Feb 20, 2018
Last updated
Mar 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2018

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

Authorized official

Name
Ms. Giovanna Pagano, LCSWNPI 1295852242
Title
Psychotherapist
Phone
(707) 734-0504

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
Community/Behavioral Health Agency 251S00000X LCSW22285 CA Primary

Addresses

Primary practice location

327 E Redwood Ave Ste D
Fort Bragg, CA 95437-3550

Mailing address

PO Box 272
Little River, CA 95456-0272
Phone (707) 734-0504

Other identifiers 1

IdentifierTypeStateIssuer
1295852242MedicaidCA

National Provider Directory

National Provider Directory

Locations

327 E Redwood Ave
Ste D
Fort Bragg, CA 95437
Phone (707) 472-7937

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520467200000",
    "number": "1821598392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 272",
            "city": "LITTLE RIVER",
            "state": "CA",
            "postal_code": "954560272",
            "telephone_number": "707-734-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 E REDWOOD AVE STE D",
            "city": "FORT BRAGG",
            "state": "CA",
            "postal_code": "954373550",
            "telephone_number": "707-734-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIOVANNA PAGANO LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-03-08",
        "status": "A",
        "authorized_official_last_name": "PAGANO",
        "authorized_official_first_name": "GIOVANNA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "707-734-0504",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "LCSW22285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295852242",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Bragg, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; 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.