MS. CASEY E FICKARDT (NPI# 1275682197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275682197 |
| Entity Type | Individual |
| Full Name | MS. CASEY E FICKARDT |
| Credential | ASW |
| Practice Address |
1090 Shadowbrook Way #9 Paradise CA 95969 |
| Practice Telephone | 5308775623 |
| Practice Fax Number | 5308956549 |
| Mailing Telephone | 5308775623 |
| Mailing Fax Number | 5308956549 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
20409 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BOARD OF BEHAVIORAL SCIEN | ASW #20409 | 01 |
| Street Address |
1090 SHADOWBROOK WAY #9 |
| City | PARADISE |
| State | CA |
| Zip Code | 95969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699234559 | Skala Chiropractic Inc | Chiropractor | 4413 Sierra Del Sol, Paradise, CA 95969 | 2019-03-19 |
| 1114463924 | Gary R Watts | Obstetrics & Gynecology | 5016 Lago Vista Way, Paradise, CA 95969 | 2017-01-18 |
| 1013367044 | Leslie Allison Bass | Registered Nurse | 1309 Nunneley Road, Paradise, CA 95969 | 2016-06-21 |
| 1457798977 | Lisa Marie Nelson | Counselor | 5910 Clark Road Suite 179, Paradise, CA 95969 | 2013-05-23 |
| 1700121597 | Ann Mary Sullivan | Marriage & Family Therapist | 955 Elliott Road, Paradise, CA 95969 | 2012-12-05 |
| 1255631693 | Paola Maria Mccarthy | Pharmacist | 6020 Clark Rd, Paradise, CA 95969 | 2010-11-02 |
| 1871821678 | Lisa Alison Franco | Occupational Therapist | 1633 Cypress Ln., Lifehouse/cypress, Paradise, CA 95969 | 2009-12-07 |
| 1700017548 | Michael C Reilly | Occupational Therapy Assistant | 1633 Cypress Lane, Paradise, CA 95969 | 2009-07-28 |
| 1992985899 | James D Salomone | Counselor | 7690 East Rd, Redwood Valley, CA 95969 | 2007-11-07 |
| 1548461619 | Paradise Ultrasound | Radiologic Technologist | 5921 Clark Rd, Ste. C, Paradise, CA 95969 | 2007-05-29 |
| Find all providers in zip 95969 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003322843 | Lorraine Marchant | Counselor | 5910 Clark Rd Ste T, Paradise, CA 95969-4860 | 2017-12-15 |
| 1457798977 | Lisa Marie Nelson | Counselor | 5910 Clark Road Suite 179, Paradise, CA 95969 | 2013-05-23 |
| 1407081896 | Lawrence S. Phipps | Counselor | 5911 Maxwell Dr, Paradise, CA 95969-4023 | 2009-05-28 |
| 1689149718 | Carly Allyson D'ewart | Counselor | 7204 Skyway, Paradise, CA 95969-3280 | 2018-10-04 |
| 1740769165 | Destiny Elaine-nikole Teasley | Counselor | 7204 Skyway, Paradise, CA 95969-3280 | 2018-08-07 |
| 1285112607 | Estefania Brianna Acevedo | Counselor | 7204 Skyway, Paradise, CA 95969-3280 | 2018-07-30 |
| 1225515059 | Darcelle Nicole Poliquin | Counselor | 7204 Skyway, Paradise, CA 95969-3280 | 2018-07-24 |
| 1255817219 | Jader Paulino Silva | Counselor | 7204 Skyway, Paradise, CA 95969-3280 | 2018-07-12 |
| 1245726264 | Jessica Marie James | Counselor | 7204 Skyway, Paradise, CA 95969-3280 | 2018-07-02 |
| 1063901320 | Stephanie Ann Myers | Counselor | 7204 Skyway, Paradise, CA 95969-3280 | 2018-05-02 |
| Find all providers in PARADISE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.