Rosa Tupina Yaotonalcuauhtli-Orta, LMSW
Individual provider Active NPI Clinical Social Worker · Crockett, CA
NPI 1033319009 · NPPES record last updated Jul 18, 2007
Key facts
- NPI
- 1033319009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- S24687 (TX)
- Practice address
- 904 5TH Ave
Crockett, CA 94525-1319 - Phone
- (510) 787-6937
- Fax
- (510) 787-6937
- NPI assigned
- Jul 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S24687 | TX | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | S24687 | TX | Yes |
| Community/Behavioral Health Agency | 251S00000X | S24687 | TX |
Addresses
Primary practice location
904 5TH Ave
Crockett, CA 94525-1319
Mailing address
904 5TH Ave
Crockett, CA 94525-1319
Phone (510) 787-6937
Other names
- Mrs. Rosa Maria Valenzuela
Other providers in Crockett, CA
- Mervyn Frank Silverman
- Mohammad Hadi Soltani
- Karen Louise Valiton
- Shelby Verducci
- Christopher Walk
- Douglas Michael Yarris
All providers in Crockett, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.