Nicolas Caballero Talavera, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

81515 Issued in CA

Practice address

2020 J St
Sacramento, CA 95811-3120

Phone

(530) 794-8085

NPI assigned

Oct 25, 2012

Last updated

Jun 21, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: nicolas.caballero.p1@direct.snahc.nextgenshare.com

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.

• Sacramento Native American Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Sacramento, CA
  • NPI 1588756530
  Medicare reassignment
• James Meyer

  dba Lions Heart Counseling

  • Clinical Social Worker
  • Sacramento, CA
  • NPI 1992199103
  NPD (past)

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1922351071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 162476",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958162476",
            "telephone_number": "530-794-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 J ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958113120",
            "telephone_number": "530-794-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABALLERO TALAVERA",
        "first_name": "NICOLAS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-25",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "81515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• C&B Family Corporation (B.E.Y.A. Leader Mentoring Program)
• Phuong P Ca
• Justin Caalim
• Caare Diagnostic & Treatment Center (UC Davis Children's Hospital)
• Aniston Cabael
• Aundrea Victoria Caballero
• Fiana Clara Caballero, ACSW
• Jacob David Caballero
• Jennifer Caballero
• Matthew Cabalona

• Clinical Social Worker in Sacramento, CA
• Providers in Sacramento, 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 Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.