MICHELLE PAYTON
NPI 1619495694
Social Worker - Clinical in Fairfield, CA

Active since August 30, 2017Opted out of Medicare · through Dec 19, 2027
2188 MONTEREY DR, FAIRFIELD, CA 94534(510) 388-0382 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2023, Dec 5, 2019, Oct 30, 2019 and 1 more (4 updates tracked since 2017).

About Michelle Payton NPPES

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

MICHELLE PAYTON (NPI 1619495694) is an individual clinical provider in Fairfield, California, licensed in California (114078) and active in the NPI registry since August 2017. She has opted out of Medicare through December 19, 2027.

NPPES Registry Identity

NPI1619495694
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMICHELLE PAYTON
Location Address2188 MONTEREY DRFairfield, CA 94534
Mailing Address4470 W Sunset Blvd Ste 107Los Angeles, CA 90027-6309
Sole ProprietorNo
Enumeration DateAugust 30, 2017
Last NPPES UpdateAugust 15, 20234 updates tracked since enumeration
NPPES CertifiedAugust 9, 2023
NPI 1619495694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in CA · 114078 Licensed · 90549
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.
2188 MONTEREY DR, Fairfield, CA 94534

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Michelle Payton 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 December 19, 2023 through December 19, 2027.

Opt-Out Effective DateDecember 19, 2023
Opt-Out In Effect ThroughDecember 19, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Michelle Payton's NPI number?

The NPI number for Michelle Payton is 1619495694. It was assigned to this individual provider in the NPPES registry on August 30, 2017.

Where is Michelle Payton located?

Michelle Payton practices at 2188 Monterey Dr, Fairfield, CA 94534. The listed phone number is (510) 388-0382.

What is Michelle Payton's specialty?

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

Is Michelle Payton enrolled in Medicare?

No. Michelle Payton has opted out of Medicare through December 19, 2027. 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 Michelle Payton was last updated on August 15, 2023. 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.