Active NPI
Sandra Barojas-Renteria
- Clinical Social Worker
- Modesto, CA
National Provider Identifier
1093383911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 128978
- Practice address
- 101 Park Ave
Modesto, CA 95354-0556 - Phone
- (209) 558-4595
- NPI assigned
- Jun 16, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 128978 | CA | Primary |
| Professional Counselor | 101YP2500X | 98258 | CA |
Addresses
Primary practice location
101 Park Ave
Modesto, CA 95354-0556
Mailing address
101 Park Ave
Modesto, CA 95354-0556
Phone (209) 558-4595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 98258 | CA | MD | Professional Counselor |
| 128978 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1093383911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 PARK AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953540556",
"telephone_number": "209-558-4595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 PARK AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953540556",
"telephone_number": "209-558-4595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAROJAS-RENTERIA",
"first_name": "SANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-16",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "128978",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "98258",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.