Social Resources Connection Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SOCIAL RESOURCES CONNECTION INC

Practice address

23945 Sunnymead Blvd Ste 2
Moreno Valley, CA 92553-3025

Phone

(562) 200-4381

Fax

(951) 346-4117

NPI assigned

Aug 22, 2019

Last updated

Jul 31, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Yvonne Gabriella Rodriguez, LCSWNPI 1639375777

Title

Ceo

Phone

(562) 505-5945

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Social Resources Connection Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Social Resources Connection Inc

  • Community/Behavioral Health Agency
  • Riverside, CA
  • NPI 1659928752
  NPD tax ID

Locations

Interoperability endpoints

• Direct secure messaging: yvonnesrc@srcpro.org

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yvonne Gabriella Rodriguez, MSW

  • Clinical Social Worker
  • Santa Ana, CA
  • NPI 1639375777
  Medicare reassignment Care Compare group NPD Authorized official
• Isolina Ixcaragua, LMFT

  • Marriage & Family Therapist
  • Whittier, CA
  • NPI 1700948510
  Medicare reassignment Care Compare group NPD
• Telana Mone Courseault

  • Assistant Health Information Record Technician
  • Moreno Valley, CA
  • NPI 1306963392
  NPD

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1184271298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11019 REICHLING LANE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "90606",
            "telephone_number": "562-505-5945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23945 SUNNYMEAD BLVD STE 2",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533025",
            "telephone_number": "562-200-4381",
            "fax_number": "951-346-4117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11901 Avalon Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900612836",
            "country_code": "US",
            "telephone_number": "562-200-4381",
            "fax_number": "951-346-4117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4131 9th St",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925013101",
            "country_code": "US",
            "telephone_number": "562-200-4381",
            "fax_number": "951-346-4117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 E 4th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927053916",
            "country_code": "US",
            "telephone_number": "714-824-8140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOCIAL RESOURCES CONNECTION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-22",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "GABRIELLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-505-5945",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Yvonnesrc@srcpro.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11019 Reichling Ln",
            "city": "Whittier",
            "state": "CA",
            "country_code": "US",
            "postal_code": "906061508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Judith Annette Smuland, FNP-C
• Lorraine Luke Snow, PH.D.
• Pamela Suzanne Snow
• Victoria Leah Snyder, LCSW
• Pablo Sobero, M.D.
• Social Resources Network, Inc.
• Yuliana Soe, M.D
• Sarah Temiloluwa Sofeso, PHARMD
• Soudabeh Soheili
• Angela Onosolabomi Sojobi, CNM

• Clinical Social Worker in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.