Emerita Banuelos Rodriguez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1799 Esplanade Way
1965 Live Oak Blvd.
Yuba City, CA 95993-1011

Phone

(530) 415-1874

Fax

(530) 671-0943

NPI assigned

Feb 23, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325548800000",
    "number": "1386779833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1799 ESPLANADE WAY",
            "address_2": "1965 LIVE OAK BLVD.",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959931011",
            "telephone_number": "530-415-1874",
            "fax_number": "530-671-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 ESPLANADE WAY",
            "address_2": "1965 LIVE OAK BLVD.",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959931011",
            "telephone_number": "530-415-1874",
            "fax_number": "530-671-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANUELOS RODRIGUEZ",
        "first_name": "EMERITA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2012-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Laurel Ann Banta, M. A., CCC-SLP
• Gloria Y Barajas
• Rafael Barajas
• Irving David Baran, M.D.
• Linda Sutch Baran, PH.D.
• Saydra Barbour

• Clinical Social Worker in Yuba City, CA
• Providers in Yuba City, 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 Jan 3, 2012; 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.