Individual provider Active NPI

Deborah Fujimoto

  • Clinical Social Worker
  • Clovis, CA
National Provider Identifier
1851545404
Registry record updated Dec 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
3097 Willow Ave Ste 8
Clovis, CA 93612-4715
Phone
(559) 908-8042
Fax
(559) 908-8042
NPI assigned
Nov 10, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW79386 CA
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

3097 Willow Ave Ste 8
Clovis, CA 93612-4715

Mailing address

3097 Willow Ave Ste 8
Clovis, CA 93612-4715
Phone (559) 908-8042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20211001001346 CA Practitioner - Clinical Social Worker 6002214228 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sud Specialty Group - CaGroup PAC ID 9537534177, 519 clinicians

Practice addresses (Care Compare)

4633 Old Ironsides Dr
Suite 304
Santa Clara, CA 95054-1846
Phone (866) 280-0260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW79386CAMDClinical Social Worker
79386CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sud Specialty Group - Ca Clinical CurrentSince May 1, 2025 Accepting new patients
Cyti Health PC CurrentSince Jan 1, 2024 Accepting new patients
Elevate You Counseling, a Licensed Clinical Social Worker PC Clinical CurrentSince Jun 30, 2021 Accepting new patients
Pasadena Clinical Group, a Psychology Corporation CurrentSince Jul 1, 2022 Accepting new patients
Grow Healthcare Group PC Clinical CurrentSince Oct 6, 2023 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients

Locations

8050 N Palm Ave
Ste 300
Fresno, CA 93711
Phone (559) 272-4110

16787 Beach Blvd
Huntington Beach, CA 92647
Phone (657) 204-6014

8939 S Sepulveda Blvd
Ste 102
Los Angeles, CA 90045
Phone (310) 736-2145

595 E Colorado Blvd
Ste 428
Pasadena, CA 91101
Phone (818) 600-7312

790 E Colorado Blvd
Fl 9
Pasadena, CA 91101
Phone (626) 354-6440

11801 Pierce St
Riverside, CA 92505
Phone (909) 528-0317

402 W Broadway
Ste 400
San Diego, CA 92101
Phone (619) 810-1939

3111 Camino del Rio N
Ste 460
San Diego, CA 92108

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

4633 Old Ironsides Dr
Ste 304
Santa Clara, CA 95054
Phone (501) 271-9428

520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Interoperability endpoints

  • Direct secure messaging: deborahfujimoto@tdh.allscriptsdirect.net

Organizations & group practices 6

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": "1226275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545955200000",
    "number": "1851545404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3097 WILLOW AVE STE 8",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936124715",
            "telephone_number": "559-908-8042",
            "fax_number": "559-908-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3097 WILLOW AVE STE 8",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936124715",
            "telephone_number": "559-908-8042",
            "fax_number": "559-908-8042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUJIMOTO",
        "first_name": "DEBORAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-10",
        "last_updated": "2018-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW79386",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

Verify at the official NPI Registry.