Individual provider Active NPI

Noely Porcayo-Paredes, LCSW

  • Clinical Social Worker
  • Santa Rosa, CA
National Provider Identifier
1346852720
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW140704 Issued in CA
Practice address
480 Tesconi Cir Ste a
Santa Rosa, CA 95401-4691
Phone
(707) 206-7268
NPI assigned
Aug 18, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW140704 CA Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

480 Tesconi Cir Ste a
Santa Rosa, CA 95401-4691

Mailing address

1260 N Dutton Ave Ste 105
Santa Rosa, CA 95401-7121
Phone (707) 568-2300

Other practice location 1

1260 N Dutton Ave Ste 105
Santa Rosa, CA 95401-7121
Phone (707) 568-2300

Other names 1

  • Noely Paredes-Aguilera Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeworks of Sonoma County CurrentSince Aug 1, 2020 Accepting new patients
Siyan Care Corporation CurrentSince Dec 21, 2025 Accepting new patients
Lifeworks of Sonoma County Mental Health PastSince Aug 1, 2020 Accepting new patients

Locations

1260 N Dutton Ave
Ste 105
Santa Rosa, CA 95401
Phone (707) 568-2300

480 Tesconi Cir
Ste A
Santa Rosa, CA 95401
Phone (707) 206-7268

Organizations & group practices 3

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": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1346852720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 N DUTTON AVE STE 105",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954017121",
            "telephone_number": "707-568-2300",
            "fax_number": "707-568-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 TESCONI CIR STE A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014691",
            "telephone_number": "707-206-7268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1260 N Dutton Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954017121",
            "country_code": "US",
            "telephone_number": "707-568-2300",
            "fax_number": "707-568-2304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORCAYO-PAREDES",
        "first_name": "NOELY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW140704",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NOELY",
            "last_name": "PAREDES-AGUILERA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.