Individual provider Active NPI

Marianne Lee Rickards, LCSW

  • Clinical Social Worker
  • Santa Rosa, CA
National Provider Identifier
1306933585
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS22463 Issued in CA
Practice address
1821 4TH St
Santa Rosa, CA 95404-3202
Phone
(707) 595-0136
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS22463 CA Primary

Addresses

Primary practice location

1821 4TH St
Santa Rosa, CA 95404-3202

Mailing address

PO Box 592
Cloverdale, CA 95425-0592
Phone (707) 595-0136

Other practice location 1

1381 University St
Healdsburg, CA 95448-3314
Phone (707) 433-5494

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
I20201111002796 CA Practitioner - Clinical Social Worker 4789094228 Reassigns benefits to 1 organization
Practice locations: Santa Rosa, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alliance Medical CenterGroup PAC ID 3779471446, 42 clinicians

Practice addresses (Care Compare)

1381 University St
Healdsburg, CA 95448-3314
Phone (707) 433-5494

1821 4TH St
Santa Rosa, CA 95404-3202
Phone (707) 595-0136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22463CAMDAddiction (Substance Use Disorder) Counselor
LCS22463CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Medical Center CurrentSince Apr 22, 2024 Accepting new patients
Alliance Medical Center Current Accepting new patients
Alliance Medical Center CurrentSince Apr 22, 2024 Accepting new patients
Providence Medical Foundation Past Accepting new patients
Santa Rosa Community Health Centers Past Accepting new patients

Locations

1381 University St
Healdsburg, CA 95448
Phone (707) 431-8234

Organizations & group practices 5

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1306933585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 592",
            "city": "CLOVERDALE",
            "state": "CA",
            "postal_code": "954250592",
            "telephone_number": "707-595-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 4TH ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954043202",
            "telephone_number": "707-595-0136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1381 University St",
            "address_purpose": "LOCATION",
            "city": "Healdsburg",
            "state": "CA",
            "postal_code": "954483314",
            "country_code": "US",
            "telephone_number": "707-433-5494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICKARDS",
        "first_name": "MARIANNE",
        "middle_name": "LEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS22463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.