Active NPI
Roberta Rinaldi Sr.
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1386662088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS10239
- Practice address
- 10636 Wilshire Blvd
Ste 405
Los Angeles, CA 90024-4592 - Phone
- (310) 475-2099
- Fax
- (949) 643-7956
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS10239 | CA | Primary |
Addresses
Primary practice location
10636 Wilshire Blvd
Ste 405
Los Angeles, CA 90024-4592
Mailing address
10636 Wilshire Blvd
Ste 405
Los Angeles, CA 90024-4592
Phone (310) 475-2099
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
- Opted out of Medicare
- Yes, effective Dec 6, 2018 through Dec 6, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS10239 | CA | MD | Clinical Social Worker |
| 10239 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386662088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10636 WILSHIRE BLVD",
"address_2": "STE 405",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900244592",
"telephone_number": "310-475-2099",
"fax_number": "949-643-7956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10636 WILSHIRE BLVD",
"address_2": "STE 405",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900244592",
"telephone_number": "310-475-2099",
"fax_number": "949-643-7956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RINALDI",
"first_name": "ROBERTA",
"name_suffix": "Sr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS10239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.