Active NPI
Giovanna Pagano LCSW
- Community/Behavioral Health Agency
- Fort Bragg, CA
National Provider Identifier
1821598392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- LCSW22285
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Giovanna Pagano, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295852242 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Fort Bragg, CA
- NPI 1295852242
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.