Individual provider Active NPI

Venicia Yanina Castro Paz, LCSW

  • Clinical Social Worker
  • Riverside, CA
National Provider Identifier
1174408561
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
131202 Issued in CA
Practice address
5015 Windhill Dr
Riverside, CA 92507-0615
Phone
(760) 515-0946
NPI assigned
Aug 6, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 131202 CA
Clinical Social Worker 1041C0700X 131202 CA Primary

Addresses

Primary practice location

5015 Windhill Dr
Riverside, CA 92507-0615

Mailing address

5015 Windhill Dr
Riverside, CA 92507-0615
Phone (760) 515-0946

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250911004266 CA Practitioner - Clinical Social Worker 5698278034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spring to Autumn Family Counseling, Inc.Group PAC ID 1254773054, 18 clinicians

Practice addresses (Care Compare)

2068 Orange Tree LN
Suite 216
Redlands, CA 92374-4555
Phone (909) 557-6574

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spring to Autumn Family Counseling, Inc. CurrentSince Aug 27, 2025 Accepting new patients

Locations

2068 Orange Tree Ln
Ste 216
Redlands, CA 92374
Phone (909) 553-0448

1275 W Park Ave
#7461
Redlands, CA 92373

11870 Pierce St
Ste 150
Riverside, CA 92505
Phone (909) 557-6574

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1754438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1174408561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5015 WINDHILL DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070615",
            "telephone_number": "760-515-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 WINDHILL DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070615",
            "telephone_number": "760-515-0946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO PAZ",
        "first_name": "VENICIA",
        "middle_name": "YANINA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-06",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "131202",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "131202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.