Nidia Alvarado Rosas
Individual provider Active NPI Clinical Social Worker · Ukiah, CA
NPI 1144811407 · NPPES record last updated Jun 14, 2023
Key facts
- NPI
- 1144811407
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- ASW113006 (CA)
- Practice address
- 800 N State St
Ukiah, CA 95482-3410 - Phone
- (707) 468-5536
- NPI assigned
- Jan 29, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| ASW113006 | CA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ASW113006 | CA | Yes |
Addresses
Primary practice location
800 N State St
Ukiah, CA 95482-3410
Mailing address
PO Box 2077
Ukiah, CA 95482-2077
Phone (707) 467-2010
Other practice location 1
631 S Orchard Ave
Ukiah, CA 95482-5011
Phone (707) 467-2010
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113006 | Other | CA | ACSW |
Other providers in Ukiah, CA
- Jorge Anibal Allende Jr.
- Lisa Allison
- Micah Allison
- Derick Almena
- Scott D. Altamirano
- Stephanie Catherine Alvarado
- Carina Alvarez-Carrillo
- Princessa Alvarez
- Sarah Fearing Alvord
- Christine Amador
All providers in Ukiah, 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 Jun 14, 2023. 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.