Individual provider Active NPI

Deja Simone Detrinidad

  • Social Worker
  • Sacramento, CA
National Provider Identifier
1235780925
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
701 University Ave Ste 225
Sacramento, CA 95825-6756
Phone
(916) 794-2051
NPI assigned
Sep 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

701 University Ave Ste 225
Sacramento, CA 95825-6756

Mailing address

PO Box 2654
Elk Grove, CA 95759-2654
Phone (916) 877-9523

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
I20250402003079 CA Practitioner - Clinical Social Worker 7012430747 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC CurrentSince Feb 28, 2025 Accepting new patients
Sierra Center for Welless Sacramento a Psychologial Corporation CurrentSince Jun 26, 2022 Accepting new patients
Turning Point Community Programs PastSince Feb 1, 2022 Accepting new patients
Turning Point Community Programs PastSince Jan 10, 2021 Accepting new patients

Locations

701 University Ave
Ste 225
Sacramento, CA 95825
Phone (916) 314-2994

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 4

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": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1235780925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2654",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957592654",
            "telephone_number": "916-877-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 UNIVERSITY AVE STE 225",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256756",
            "telephone_number": "916-794-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETRINIDAD",
        "first_name": "DEJA",
        "middle_name": "SIMONE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-24",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.