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THEADORA ZAVALA RICKER LCSW
NPI 1053894113
Social Worker - Clinical in Los Angeles, CA

Active since September 13, 2018Opted out of Medicare · through Feb 21, 2028
453 S SPRING ST STE 400, LOS ANGELES, CA 90013(323) 391-4711 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 13, 2022, Sep 14, 2020, Jul 4, 2019 and 1 more (4 updates tracked since 2018).

About Theadora Zavala Ricker Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THEADORA ZAVALA RICKER LCSW (NPI 1053894113) is an individual clinical provider in Los Angeles, California, licensed in California (120500) and active in the NPI registry since September 2018. She has opted out of Medicare through February 21, 2028.

NPPES Registry Identity

NPI1053894113
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTHEADORA ZAVALA RICKERCredential: LCSW
Location Address453 S SPRING ST STE 400Los Angeles, CA 90013-2074
Mailing Address453 S Spring St Ste 400Los Angeles, CA 90013-2074
Phone(323) 391-4711
Sole ProprietorNo
Enumeration DateSeptember 13, 2018
Last NPPES UpdateFebruary 20, 20244 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2024
✔ NPI 1053894113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 120500
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
453 S SPRING ST STE 400, Los Angeles, CA 90013
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Theadora Zavala Ricker Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 21, 2024 through February 21, 2028.

Opt-Out Effective DateFebruary 21, 2024
Opt-Out In Effect ThroughFebruary 21, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90013 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DE LOS DOS: A LICENSED CLINICAL SOCIAL WORKER CORPORATION
Social Worker (Clinical)
453 S SPRING ST STE 400
LOS ANGELES, CA 90013
Los Angeles County (323) 391-4711
JOURNEY PSYCH CORP
Nurse Practitioner (Psychiatric/Mental Health)
453 S SPRING ST STE 400
LOS ANGELES, CA 90013
Los Angeles County (800) 955-0167
SQUAREONE AFFORDABLE HOUSING ADVOCACY AND CONSULTANT, INC
Case Management
453 S SPRING ST STE 400
LOS ANGELES, CA 90013
Los Angeles County (831) 201-5338
ZENTROMEDS LLC
Durable Medical Equipment & Medical Supplies
453 S SPRING ST STE 400
LOS ANGELES, CA 90013
Los Angeles County (213) 330-9384
MISS MARIELA MAGALLON PALOMINOS
Nutritionist
453 S SPRING ST STE 400
LOS ANGELES, CA 90013
Los Angeles County (323) 475-8553
TAMIKA TAMARA ROBERTS
Nurse Practitioner (Family)
453 S SPRING ST STE 400
LOS ANGELES, CA 90013
Los Angeles County (347) 567-5792
SANCHEZ FRANCO THERAPY
Marriage & Family Therapist
453 S SPRING ST STE 400, PMB 1210
LOS ANGELES, CA 90013
Los Angeles County (619) 326-4969
IMPERIUM CARE HOME AID, LLC
Home Health Aide
453 S SPRING ST STE 400
LOS ANGELES, CA 90013
Los Angeles County (314) 448-9082

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theadora Ricker's NPI number?

The NPI number for Theadora Ricker is 1053894113. It was assigned to this individual provider in the NPPES registry on September 13, 2018.

Where is Theadora Ricker located?

Theadora Ricker practices at 453 S Spring St Ste 400, Los Angeles, CA 90013. The listed phone number is (323) 391-4711.

What is Theadora Ricker's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Theadora Ricker enrolled in Medicare?

No. Theadora Ricker has opted out of Medicare through February 21, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Theadora Ricker was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.