Active NPI
Nicole Thanh
- Social Worker
- Elk Grove, CA
National Provider Identifier
1942035704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ASW132085
- Practice address
- 9412 Big Horn Blvd
Elk Grove, CA 95758-1101 - Phone
- (916) 609-5100
- NPI assigned
- Sep 3, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | ASW132085 | CA | Primary |
Addresses
Primary practice location
9412 Big Horn Blvd
Elk Grove, CA 95758-1101
Mailing address
9412 Big Horn Blvd
Elk Grove, CA 95758-1101
Phone (916) 609-5100
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW132085 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River Oak Center for Children | 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 and National Provider Directory roles.
-
- Adolescent and Children Mental Health Clinic/Center
- Elk Grove, CA
- NPI 1912052184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757980800000",
"number": "1942035704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9412 BIG HORN BLVD",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957581101",
"telephone_number": "916-609-5100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9412 BIG HORN BLVD",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957581101",
"telephone_number": "916-609-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THANH",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-03",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW132085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.