Vicky Sam Blum, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS17152 Issued in CA

Practice address

621 Chapala St
Ste C
Santa Barbara, CA 93101-7010

Phone

(805) 965-1995

Fax

(805) 568-1105

NPI assigned

Jul 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Riviera Psychology Group Inc

  • Clinical Psychologist
  • Santa Barbara, CA
  • NPI 1548839129
  NPD

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1831113281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 CHAPALA ST",
            "address_2": "STE C",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931017010",
            "telephone_number": "805-965-1995",
            "fax_number": "805-569-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 CHAPALA ST",
            "address_2": "STE C",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931017010",
            "telephone_number": "805-965-1995",
            "fax_number": "805-568-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUM",
        "first_name": "VICKY",
        "middle_name": "SAM",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS17152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurel Bliss, MD
• Lindsay H Blount, M.D.
• Morgan Antoinette Bluhm, M.A. CCC-SLP
• Gary M Blum, MD
• Joseph Wiliam Blum, M.D.
• Kevina Kunihira Blumer
• Lowell Boardman, CATC
• Wesley James Boatman
• Sierra Anne Boatwright, LMFT
• Toby Leila Bobes

• Clinical Social Worker in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.