Active NPI
Ana R Tafolla Rios
- Clinical Social Worker
- Novato, CA
National Provider Identifier
1114575784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 125836
- Practice address
- 6090 Redwood Blvd
Novato, CA 94945-4569 - Phone
- (415) 448-1500
- NPI assigned
- Aug 27, 2019
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | ASW104043 | CA | |
| Clinical Social Worker | 1041C0700X | 125836 | CA | Primary |
Addresses
Primary practice location
6090 Redwood Blvd
Novato, CA 94945-4569
Mailing address
6090 Redwood Blvd
Novato, CA 94945-4569
Phone (415) 448-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 228106 | Other | CA | CALIFORNIA BOARD OF BEHAVIORAL SCIENCES |
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 |
|---|---|---|---|
| ASW104043 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centella Licensed Clinical Social Worker Inc | Clinical | Current | Accepting new patients |
| Instituto Familiar de la Raza | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Vallejo, CA
- NPI 1255228003
Clinical
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Francisco, CA
- NPI 1225544638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1114575784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6090 REDWOOD BLVD",
"city": "NOVATO",
"state": "CA",
"postal_code": "949454569",
"telephone_number": "415-448-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6090 REDWOOD BLVD",
"city": "NOVATO",
"state": "CA",
"postal_code": "949454569",
"telephone_number": "415-448-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAFOLLA RIOS",
"first_name": "ANA",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-27",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW104043",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "125836",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA BOARD OF BEHAVIORAL SCIENCES",
"identifier": "228106",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Novato, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.