Organization Active NPI

Medical Social Services Consultation Inc.

Doing business as Redding Counselors Group

  • Clinical Social Worker
  • Redding, CA
National Provider Identifier
1861863680
Registry record updated Oct 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS24689 Issued in CA
Legal business name
MEDICAL SOCIAL SERVICES CONSULTATION INC.
Doing business as
Redding Counselors Group
Practice address
630 Azalea Ave
Redding, CA 96002-0217
Phone
(530) 524-6085
NPI assigned
Oct 20, 2015
Last updated
Oct 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2015

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

Authorized official

Name
Ms. Bonnie Brower Simonetta, MSW, LCSWNPI 1275891624
Title
Ceo, Director
Phone
(530) 524-6085

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LCS24689 CA Primary

Addresses

Primary practice location

630 Azalea Ave
Redding, CA 96002-0217

Mailing address

630 Azalea Ave
Redding, CA 96002-0217
Phone (530) 524-6085

Other names 1

  • Redding Counselors Group Doing business as

National Provider Directory

National Provider Directory

Locations

630 Azalea Ave
Redding, CA 96002
Phone (530) 410-2287

Practitioners & affiliated clinicians

Practitioners 2

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": "1445299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445299200000",
    "number": "1861863680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 AZALEA AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020217",
            "telephone_number": "530-524-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 AZALEA AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020217",
            "telephone_number": "530-524-6085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SOCIAL SERVICES CONSULTATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-20",
        "last_updated": "2015-10-20",
        "status": "A",
        "authorized_official_last_name": "SIMONETTA",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "BROWER",
        "authorized_official_title_or_position": "CEO, DIRECTOR",
        "authorized_official_telephone_number": "530-524-6085",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS24689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redding Counselors Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; 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.