Individual provider Active NPI

Ivan Nunez, LCSW

  • Clinical Social Worker
  • Wasco, CA
National Provider Identifier
1932697828
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
109386 Issued in CA
Practice address
820 6TH Street
Wasco, CA 93280-7617
Phone
(661) 758-4029
NPI assigned
Apr 25, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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 109386 CA Primary

Addresses

Primary practice location

820 6TH Street
Wasco, CA 93280-7617

Mailing address

29325 Kimberlina Rd
Wasco, CA 93280-7617
Phone (661) 758-4029

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
I20260312003826 CA Practitioner - Clinical Social Worker 1759864283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 1000
Bakersfield, CA 93302

PO Box
Suite 1000
Bakersfield, CA 93302-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
135274CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
College Community Services CurrentSince Oct 22, 2023 Accepting new patients
County of Kern CurrentSince Jan 5, 2026 Accepting new patients
College Community Services PastSince Aug 1, 2022 Accepting new patients

Locations

820 6th St
Wasco, CA 93280
Phone (661) 758-4029

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": "1524614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1932697828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29325 KIMBERLINA RD",
            "city": "WASCO",
            "state": "CA",
            "postal_code": "932807617",
            "telephone_number": "661-758-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 6TH STREET",
            "city": "WASCO",
            "state": "CA",
            "postal_code": "932807617",
            "telephone_number": "661-758-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ",
        "first_name": "IVAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-25",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "109386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasco, CA

Sources for this page

Verify at the official NPI Registry.