ALICIA AVILA OUTCALT LCSW
NPI 1417055682
Social Worker - Clinical in San Diego, CA

Active since September 20, 2006Opted out of Medicare · through Jan 1, 2028
3990 OLD TOWN AVE, SUITE C 203, SAN DIEGO, CA 92110(858) 344-9440(619) 297-3716 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alicia Avila Outcalt Lcsw NPPES

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

ALICIA AVILA OUTCALT LCSW (NPI 1417055682) is an individual clinical provider in San Diego, California, licensed in California (LCS19899) and active in the NPI registry since September 2006. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1417055682
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameALICIA AVILA OUTCALTCredential: LCSW
Location Address3990 OLD TOWN AVE, SUITE C 203San Diego, CA 92110-2930
Mailing Address3990 Old Town Ave, Suite C 203San Diego, CA 92110-2930 · (858) 344-9440 · Fax (619) 297-3716
Fax(619) 297-3716
Sole ProprietorYes
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1417055682 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 · LCS19899
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.
3990 OLD TOWN AVE, San Diego, CA 92110

Other Names 1

Former Name (1)Alicia Maria Avila

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Alicia Avila Outcalt 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 January 1, 2016 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2016
Opt-Out In Effect ThroughJanuary 1, 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 92110 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 $62.10 – $184.71
Typical copayment $0.00 (range $15.52 – $46.17)
Most-billed visit code NA
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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 20

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

Marriage & Family Therapist
3990 OLD TOWN AVE, SUITE 209A
SAN DIEGO, CA 92110
Social Worker
3990 OLD TOWN AVE, STE 209A
SAN DIEGO, CA 92110
Chiropractor
3990 OLD TOWN AVE, STE A-105
SAN DIEGO, CA 92110
Social Worker (Clinical)
3990 OLD TOWN AVE
SAN DIEGO, CA 92110
Counselor (Mental Health)
3990 OLD TOWN AVE, C107
SAN DIEGO, CA 92110
Marriage & Family Therapist
3990 OLD TOWN AVE, SUITE A207
SAN DIEGO, CA 92110
Counselor (Mental Health)
3990 OLD TOWN AVE
SAN DIEGO, CA 92110
Acupuncturist
3990 OLD TOWN AVE, STE B107
SAN DIEGO, CA 92110

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 Alicia Outcalt's NPI number?

The NPI number for Alicia Outcalt is 1417055682. It was assigned to this individual provider in the NPPES registry on September 20, 2006. The provider is also known as Alicia Maria Avila.

Where is Alicia Outcalt located?

Alicia Outcalt practices at 3990 Old Town Ave Suite C 203, San Diego, CA 92110. The listed phone number is (858) 344-9440.

What is Alicia Outcalt's specialty?

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

Is Alicia Outcalt enrolled in Medicare?

No. Alicia Outcalt has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Alicia Outcalt was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.