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Nathan Wallace

Social Worker β€’ Redding, CA

Active NPI 1710353917 Individual Practitioner Male Practitioner
Practice location in NPPES

2608 Victor Ave Ste A
Redding, CA 960021447

Call 5307221022 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2608 Victor Ave Ste A

Redding, CA 960021447

Telephone 5307221022
Fax 5307221058
Organization at the Same NPPES Address or Phone
His Ideas, Inc Facility NPI 1205785490

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Redding and California

121 active clinicians are listed under Social Worker with a practice address in Redding, CA (10,337 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Redding

0.8% of these 121 clinicians have the CMS telehealth indicator.

1.7% of these 121 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-01-30
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location January 30, 2024

Registered at 2608 VICTOR AVE STE A, REDDING, CA 960021447 (Tel: 5307221022)

πŸ“
Updated Business Mailing Address January 30, 2024

Registered at PO BOX 950, RED BLUFF, CA 960800950 (Tel: 5305282938)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2024

Social Worker

βœ…
NPI Profile Active August 11, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 11, 2015

Registered at 3657 RICARDO AVE, REDDING, CA 960022627 (Tel: 5302429007)

πŸ“
Business Mailing Address (Initial Record) August 11, 2015

Registered at 3216 DENICE WAY, COTTONWOOD, CA 960229581 (Tel: 5303554336)

πŸ‘€
Provider Name / Credentials (Initial Record) August 11, 2015

Recorded as NATHAN WALLACE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2015

Social Worker (license number reported to NPPES: CA ASW67382)

🟒
Initial NPI Registration & Enumeration August 11, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1710353917
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 11, 2015
Last Update: January 30, 2024
Sole Proprietor: No

Mailing Address

Po Box 950

Red Bluff, CA 960800950

Phone: 5305282938

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.