Individual provider Active NPI

Stephanie Leah Pimentel, LCSW

  • Clinical Social Worker
  • Vacaville, CA
National Provider Identifier
1992534408
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW76963 Issued in CA
Practice address
200 Butcher Rd
Vacaville, CA 95687-5616
Phone
(888) 660-4243
Fax
(833) 233-2448
NPI assigned
Aug 1, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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 LCSW76963 CA Primary

Addresses

Primary practice location

200 Butcher Rd
Vacaville, CA 95687-5616

Mailing address

757 Bayview CT
El Sobrante, CA 94803-1305
Phone (510) 701-2930

Other practice location 1

757 Bayview Ct
El Sobrante, CA 94803-1305
Phone (510) 701-2930

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
I20240828001432 CA Practitioner - Clinical Social Worker 6305385857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curated Solutions IncGroup PAC ID 2466899125, 2 clinicians

Practice addresses (Care Compare)

200 Butcher Rd
Vacaville, CA 95687-5616
Phone (888) 660-4243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW76963CAMDClinical Social Worker
76963CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Curated Solutions Inc Clinical CurrentSince Aug 1, 2024 Accepting new patients

Locations

200 Butcher Rd
Vacaville, CA 95687
Phone (707) 359-2255

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.

NPI Registry JSON

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1992534408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 BAYVIEW CT",
            "city": "EL SOBRANTE",
            "state": "CA",
            "postal_code": "948031305",
            "telephone_number": "510-701-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BUTCHER RD",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956875616",
            "telephone_number": "888-660-4243",
            "fax_number": "833-233-2448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "757 Bayview Ct",
            "address_purpose": "LOCATION",
            "city": "El Sobrante",
            "state": "CA",
            "postal_code": "948031305",
            "country_code": "US",
            "telephone_number": "510-701-2930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIMENTEL",
        "first_name": "STEPHANIE",
        "middle_name": "LEAH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW76963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

Verify at the official NPI Registry.