Active NPI
Crystal Veronica Segura, MSW, LCSW 90323
- Clinical Social Worker
- Madera, CA
National Provider Identifier
1861740052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW90323
- Practice address
- 209 E 7TH St
Madera, CA 93638-3780 - Phone
- (559) 673-3580
- Fax
- (559) 661-2818
- NPI assigned
- Aug 21, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Mental Health Counselor | 101YM0800X | ASW36809 | CA | |
| Clinical Social Worker | 1041C0700X | LCSW90323 | CA | Primary |
Addresses
Primary practice location
209 E 7TH St
Madera, CA 93638-3780
Mailing address
PO Box 1288
Madera, CA 93639-1288
Phone (559) 673-3508
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW36809 | CA | MD | Mental Health Counselor |
| LCSW90323 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Madera | Current | Accepting new patients |
Locations
209 E 7th St
Madera, CA 93638
Phone (559) 395-0451
Organizations & group practices 1
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": "1345507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709596800000",
"number": "1861740052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1288",
"city": "MADERA",
"state": "CA",
"postal_code": "936391288",
"telephone_number": "559-673-3508",
"fax_number": "559-675-7758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 E 7TH ST",
"city": "MADERA",
"state": "CA",
"postal_code": "936383780",
"telephone_number": "559-673-3580",
"fax_number": "559-661-2818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEGURA",
"first_name": "CRYSTAL",
"middle_name": "VERONICA",
"credential": "MSW, LCSW 90323",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-21",
"last_updated": "2024-03-05",
"certification_date": "2024-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW36809",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW90323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.