NATALIE NACOLE VIDES-BOELKE LCSW
NPI 1639359318
Social Worker - Clinical in Stockton, CA

Q: What is Natalie Vides-boelke's NPI number?

The NPI number for Natalie Vides-boelke is 1639359318. It was assigned to this individual provider in the NPPES registry on November 9, 2007.

Q: What is Natalie Vides-boelke's specialty?

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

Active since November 09, 2007PECOS Enrolled

1305 TOMMYDON ST, STOCKTON, CA 95210(209) 476-3937 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Natalie Nacole Vides-boelke Lcsw NPPES

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

NATALIE NACOLE VIDES-BOELKE LCSW (NPI 1639359318) is an individual clinical provider in Stockton, California, licensed in California (24102) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639359318

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameNATALIE NACOLE VIDES-BOELKECredential: LCSW

Location Address1305 TOMMYDON STStockton, CA 95210-3364

Mailing Address1305 Tommydon StStockton, CA 95210-3364 · (209) 476-3937

Phone(209) 476-3937

Sole ProprietorNo

Enumeration DateNovember 9, 2007

Last NPPES UpdateJanuary 3, 2022

✔ NPI 1639359318 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 · 24102

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.

1305 TOMMYDON ST, Stockton, CA 95210

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Natalie Nacole Vides-boelke Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Natalie Vides-boelke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc

0.1 mi

Internal Medicine

7373 WEST LANE
Stockton, CA 95210

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1548343510 (209) 476-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95210 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 $58.87 – $176.60

Typical copayment $0.00 (range $14.71 – $44.15)

Most-billed visit code NA

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

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.

MARK ALLEN BOURASSA

Counselor (Professional)