Active NPI
Ivania Haslam Rosado
- Clinical Social Worker
- French Camp, CA
National Provider Identifier
1053535971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 70053
- Practice address
- 6505 S Manthey Rd
French Camp, CA 95231-9518 - Phone
- (209) 946-3412
- NPI assigned
- Apr 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 70053 | CA | Primary |
Addresses
Primary practice location
6505 S Manthey Rd
French Camp, CA 95231-9518
Mailing address
6505 S Manthey Rd
French Camp, CA 95231-9518
Phone (209) 946-3412
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 N Sutter St
Stockton, CA 95202-1506
Phone (209) 855-1006
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28590 | CA | MD | Technician/Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Juliet Acolatse | Current | Accepting new patients |
Locations
1201 N Sutter St
Stockton, CA 95202
Phone (209) 855-1006
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Stockton, CA
- NPI 1801445929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1053535971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6505 S MANTHEY RD",
"city": "FRENCH CAMP",
"state": "CA",
"postal_code": "952319518",
"telephone_number": "209-946-3412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6505 S MANTHEY RD",
"city": "FRENCH CAMP",
"state": "CA",
"postal_code": "952319518",
"telephone_number": "209-946-3412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSADO",
"first_name": "IVANIA",
"middle_name": "HASLAM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-12",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "70053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in French Camp, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.