Socorro Rocha Padilla, LCSW-78088

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

78088 Issued in CA

Practice address

487 S Main St
Lakeport, CA 95453-5315

Phone

(707) 263-4631

Fax

(707) 263-4650

NPI assigned

Jul 8, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Adventist Health Clearlake Hospital Inc.

  • Critical Access Hospital
  • Clearlake, CA
  • NPI 1124018031
  Medicare reassignment NPD
• County of Lake

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clearlake, CA
  • NPI 1326252271
  Medicare reassignment NPD
• County of Lake

  • Community/Behavioral Health Agency
  • Lucerne, CA
  • NPI 1215140066
  NPD

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1366858623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 937",
            "city": "MIDDLETOWN",
            "state": "CA",
            "postal_code": "954610937",
            "telephone_number": "707-295-7249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "487 S MAIN ST",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954535315",
            "telephone_number": "707-263-4631",
            "fax_number": "707-263-4650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "SOCORRO",
        "middle_name": "ROCHA",
        "credential": "LCSW-78088",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-08",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "78088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366858623",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda R Norton
• Barbara Nuckols, MA
• Breanna Odneal
• Joanna A Ortiz Prado
• Patrick Robert Ostrander, L.P.T.
• Sunny Park, DMD
• Parkview Podiatry
• Dawn Pavli, RDN
• Mikayla Pearce
• Diane Joan Pege, MD

• Clinical Social Worker in Lakeport, CA
• Providers in Lakeport, 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 Nov 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.