Healthcare Provider Details

I. General information

NPI: 1144108804
Provider Name (Legal Business Name): LIDIA ATILANO LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2025
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1990 CONCORD AVE
CHICO CA
95928-9518
US

IV. Provider business mailing address

PO BOX 827
HAMILTON CITY CA
95951-0827
US

V. Phone/Fax

Practice location:
  • Phone: 530-809-3300
  • Fax: 530-809-3399
Mailing address:
  • Phone: 530-720-1633
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW129550
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: