Jamie Lorn Baudizzon, Therapist
Social Worker, Clinical in Redding, CA. Individual provider (NPI-1).
NPI number1194936591
StatusActive
Last updated in NPPESOct 20, 2023
Details
- NPI
- 1194936591
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jamie Lorn Baudizzon
- Credential
- Therapist
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 25, 2007
- Certification date
- Oct 20, 2023
- Last updated
- Oct 20, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCS17258 | CA | Yes |
Practice location
1933 Market StSuite C
Redding, CA 96001-1929
Phone 530-241-9276 · Fax 530-241-0114
Mailing address
Po Box 990073Redding, CA 96099-0073
Phone 530-241-9276 · Fax 530-241-0114
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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