Genuine DBT Licensed Clinical Social Worker Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW61303 Issued in CA

Legal business name

GENUINE DBT LICENSED CLINICAL SOCIAL WORKER INC

Practice address

1140 Mangrove Ave Ste D
Chico, CA 95926

Phone

(530) 591-5915

NPI assigned

May 20, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Michael Courter, LCSW

Title

Owner

Phone

(530) 809-0066

Specialties & licenses 3

Addresses

Other names 1

• Genuine DBT Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anne C. Seiler, PSYD

  • Clinical Psychologist
  • Chico, CA
  • NPI 1073067633
  NPD (past)

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541203200000",
    "number": "1902285208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 DOWNING AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262823",
            "telephone_number": "530-591-5915",
            "fax_number": "888-977-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 MANGROVE AVE STE D",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "95926",
            "telephone_number": "530-591-5915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "572 Rio Lindo Ave",
            "address_2": "Suite 204",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959261851",
            "country_code": "US",
            "telephone_number": "530-809-0066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "572 Rio Lindo Ave",
            "address_2": "Suite 204",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959261851",
            "country_code": "US",
            "telephone_number": "530-809-0066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GENUINE DBT LICENSED CLINICAL SOCIAL WORKER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-20",
        "last_updated": "2018-11-03",
        "status": "A",
        "authorized_official_last_name": "COURTER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-809-0066",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY26985",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW61303",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "87407",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genuine DBT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Genuine DBT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pauline A. Gehrmann, F.N.P.
• Edgar Crispino Genato Jr., PT
• Genesee Salamon, LCSW
• Genoa Healthcare LLC
• Kristin L Gentry, MSW
• Geoffrey N Gipson
• Max George, LCSW
• Georgina Health Inc
• Mika Gerfen, PTA
• Sarah Patrice Gerlach, NP

• Clinical Social Worker in Chico, CA
• Providers in Chico, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2018; 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.