Active NPI
George Richard Linville, LCSW
- Clinical Social Worker
- Redding, CA
National Provider Identifier
1902991755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS3625
- Practice address
- 1116 Pine Street
Redding, CA 96001-0702 - Phone
- (530) 243-9057
- Fax
- (530) 244-1748
- NPI assigned
- Oct 4, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS3625 | CA | Primary |
Addresses
Primary practice location
1116 Pine Street
Redding, CA 96001-0702
Mailing address
1116 Pine Street
Redding, CA 96001-0702
Phone (530) 243-9057
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CSW036250 | Medicaid | CA |
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS3625 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hill Country Community Clinic | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Round Mountain, CA
- NPI 1407914260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902991755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1116 PINE STREET",
"city": "REDDING",
"state": "CA",
"postal_code": "960010702",
"telephone_number": "530-243-9057",
"fax_number": "530-244-1748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1116 PINE STREET",
"city": "REDDING",
"state": "CA",
"postal_code": "960010702",
"telephone_number": "530-243-9057",
"fax_number": "530-244-1748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINVILLE",
"first_name": "GEORGE",
"middle_name": "RICHARD",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS3625",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CSW036250",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
- Heather Dawn Linebarger, R.N.
- Jacob Alan Lingle III
- Laureen Kaye Link, OD
- Stan Wayne Linnet, PHARM.D.
- Carolyn A Lintner, M.D.
- Jordan Michael Lippmann, PHARM.D.
- Emilie Megan Liron, OTR/L
- William Liska, DDS
- Little Oaks Marriage Family and Child Counseling Center (Little Oaks Counseling Center)
- Dale P. Little, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.