Individual provider Active NPI

Faviola Macias

  • Clinical Social Worker
  • Santa Paula, CA
National Provider Identifier
1932224680
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
725 E Main St FL 3
Santa Paula, CA 93060-2748
Phone
(805) 933-8440
Fax
(805) 933-0057
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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 Primary

Addresses

Primary practice location

725 E Main St FL 3
Santa Paula, CA 93060-2748

Mailing address

725 E Main St FL 3
Santa Paula, CA 93060-2748
Phone (805) 933-8440

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240930002868 CA Practitioner - Clinical Social Worker 2668903733 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ventura CurrentSince Jul 21, 2024 Accepting new patients
County of Ventura Current Accepting new patients
County of Ventura CurrentSince Jul 21, 2024 Accepting new patients
Santa Paula Behavioral Health Clinic Past Accepting new patients

Locations

1911 Williams Dr
Ste 200
Oxnard, CA 93036
Phone (805) 981-4221

725 E Main St
Fl 3
Santa Paula, CA 93060
Phone (805) 933-8440

333 W Harvard Blvd
Santa Paula, CA 93060
Phone (805) 525-1618

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

800 S Victoria Ave
#L4640
Ventura, CA 93009

Organizations & group practices 4

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1932224680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 E MAIN ST FL 3",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930602748",
            "telephone_number": "805-933-8440",
            "fax_number": "805-933-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 E MAIN ST FL 3",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930602748",
            "telephone_number": "805-933-8440",
            "fax_number": "805-933-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACIAS",
        "first_name": "FAVIOLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Paula, CA

Sources for this page

Verify at the official NPI Registry.