Individual provider Active NPI

Vicki Talladino, LCSW

  • Clinical Social Worker
  • Redding, CA
National Provider Identifier
1891707717
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS13186 Issued in CA
Practice address
1740 Eureka Way
Redding, CA 96001-0435
Phone
(530) 241-8616
Fax
(530) 244-7547
NPI assigned
Aug 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS13186 CA Primary

Addresses

Primary practice location

1740 Eureka Way
Redding, CA 96001-0435

Mailing address

2810 Amethyst Way
Redding, CA 96003-3329
Phone (530) 241-8616

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS13186CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Redding Physical Therapy, L.P. Past Accepting new patients

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1891707717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 AMETHYST WAY",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960033329",
            "telephone_number": "530-241-8616",
            "fax_number": "530-244-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 EUREKA WAY",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010435",
            "telephone_number": "530-241-8616",
            "fax_number": "530-244-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLADINO",
        "first_name": "VICKI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS13186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.