Individual provider Active NPI

Lynn Marie Vinson, LCSW

  • Clinical Social Worker
  • Redding, CA
National Provider Identifier
1891029393
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
24854 Issued in CA
Practice address
980 Placer St
Redding, CA 96001-1126
Phone
(530) 246-5013
Fax
(530) 245-0970
NPI assigned
Sep 30, 2009
Last updated
Feb 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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 53250 TX
Clinical Social Worker 1041C0700X 24854 CA Primary

Addresses

Primary practice location

980 Placer St
Redding, CA 96001-1126

Mailing address

1310 Continental St
Redding, CA 96001-0839
Phone (530) 410-2402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24854CAMDClinical Psychologist
53250TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Social Services Consultation Inc. Clinical Current Accepting new patients
Shasta Community Health Center Clinical Past Accepting new patients
Creekside Counseling Center Inc PastSince Sep 14, 2020 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1891029393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 CONTINENTAL ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010839",
            "telephone_number": "530-410-2402",
            "fax_number": "530-276-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 PLACER ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011126",
            "telephone_number": "530-246-5013",
            "fax_number": "530-245-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINSON",
        "first_name": "LYNN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-30",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "53250",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "24854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 19, 2019; 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.