Nancy Sickle Antoon

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW 7971 Issued in CA

Practice address

1450 Main St
Weaverville, CA 96093

Phone

(530) 623-8293

Fax

(530) 623-1447

NPI assigned

Feb 5, 2007

Last updated

Oct 3, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nancy Sickle-Mabry Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Milestones

  • Community/Behavioral Health Agency
  • Weaverville, CA
  • NPI 1518120245
  Authorized official Same address or phone

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222992000000",
    "number": "1962540484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1640",
            "city": "WEAVERVILLE",
            "state": "CA",
            "postal_code": "960931640",
            "telephone_number": "530-623-8293",
            "fax_number": "530-623-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 MAIN ST",
            "city": "WEAVERVILLE",
            "state": "CA",
            "postal_code": "96093",
            "telephone_number": "530-623-8293",
            "fax_number": "530-623-1447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTOON",
        "first_name": "NANCY",
        "middle_name": "SICKLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2008-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW 7971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "SICKLE-MABRY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ronald W Alleson
• Amy Renee Alward
• Claudine Andrade, PEER SPECIALIST
• Jiraporn Dow Angspatt, MFT, ED.D
• Julia Lynn Ashton-Boyd, MFT INTERN
• Carolyn Atterberry
• Melissa Anne Daluz Avila, BSN, RN, PHN
• Mary Baracco, CNM NP
• Katie Ziser Barone, DPT

• Clinical Social Worker in Weaverville, CA
• Providers in Weaverville, 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 Oct 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.