JAMES W. BACKLUND (LCSW) – Clinical Social Worker, NPI 1295847515

JAMES W. BACKLUND (LCSW) is a healthcare provider. based in Fresno, California. specializing in Clinical Social Worker. They hold the professional credentials LCSW. They hold a License No. LCS11805 (CA). The NPI Number for JAMES W. BACKLUND (LCSW) is 1295847515

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
JAMES W. BACKLUND (LCSW)
NPI
1295847515
Phone
(559) 437-1111
Address
1060 W SIERRA AVE STE 105
Enumeration Date
31 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5594371111
Graduation Year
1981 (45 years ago)
PAC ID
8921038142
Group Practice PAC ID
5395804140
Professional Enrollment ID
I20050817000837
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for JAMES W. BACKLUND (LCSW)

  • 105, West Sierra Avenue, Fresno, Fresno County, California, 93704, United States

    FRESNO, CA 937112063

    Phone: (559) 437-1111

    Fax: (559) 437-1118

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-08-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050817000837IClinical Social WorkerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 93711)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395804140View full group profile
NameSpecialtyState
Nurse PractitionerCA
Marriage And Family TherapistCA
P S Y C H I A T R YCA
P S Y C H I A T R YCA
P A T H O L O G YCA
Psychiatry, Geriatric PsychiatryCA
Nurse PractitionerCA
-CA
Nurse PractitionerCA
-CA

Reviews

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Frequently asked questions

How is JAMES W. BACKLUND (LCSW) identified in CMS data?
CMS-hosted NPPES data lists JAMES W. BACKLUND (LCSW) with NPI 1295847515.
Does the file indicate JAMES W. BACKLUND (LCSW) is practicing under active NPI?
Directory data currently reports JAMES W. BACKLUND (LCSW) as active.
What taxonomy line describes JAMES W. BACKLUND (LCSW)?
For research purposes, treat JAMES W. BACKLUND (LCSW) as Clinical Social Worker in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect JAMES W. BACKLUND (LCSW) on a map?
Expect Fresno, California as a primary anchor for JAMES W. BACKLUND (LCSW) unless the record lists multiple sites.
Is the information about JAMES W. BACKLUND (LCSW) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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