Digna Rivera Woolum Licensed Clinical Social Worker Inc a Prof

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

DIGNA RIVERA WOOLUM LICENSED CLINICAL SOCIAL WORKER INC A PROF

Practice address

1255 W Colton Ave
Redlands, CA 92374-2861

Phone

(661) 390-6874

NPI assigned

May 20, 2020

Organization subpart

No

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

Authorized official

Name

Digna Rocio Rivera Woolum, LCSW

Title

Director/Provider

Phone

(661) 390-6874

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1255954558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 BROOKSIDE AVE.",
            "address_2": "#402",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923732517",
            "telephone_number": "661-390-6874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 W COLTON AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742861",
            "telephone_number": "661-390-6874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGNA RIVERA WOOLUM LICENSED CLINICAL SOCIAL WORKER INC A PROF",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-20",
        "last_updated": "2020-10-29",
        "certification_date": "2020-09-12",
        "status": "A",
        "authorized_official_last_name": "RIVERA WOOLUM",
        "authorized_official_first_name": "DIGNA",
        "authorized_official_middle_name": "ROCIO",
        "authorized_official_title_or_position": "DIRECTOR/PROVIDER",
        "authorized_official_telephone_number": "661-390-6874",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF BEHAVIORAL SCIENCES",
            "identifier": "91473",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer N Didonato, LMFT
• Sylviayunuen N Diego
• Byron Edward Diehl, DDS MS
• William August Diez Jr., PA-C
• Matthew Lawrence Diggory, O.D.
• Gabrielle Dillard
• Delisa Alma Dimpudus
• Devita Elsa Dimpudus, PMHNP
• Pauline Mary Dinnauer, AU.D.
• Soneela Ditta, LCSW

• Clinical Social Worker in Redlands, CA
• Providers in Redlands, 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 Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.