Individual provider Active NPI

Michelle Rezentes, LCSW

  • Clinical Social Worker
  • Elk Grove, CA
National Provider Identifier
1396210522
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
117777 Issued in CA
Practice address
9510 Elk Grove Florin Rd
Elk Grove, CA 95624-1801
Phone
(916) 686-7568
NPI assigned
Oct 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 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 117777 CA Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

9510 Elk Grove Florin Rd
Elk Grove, CA 95624-1801

Mailing address

9510 Elk Grove Florin Rd
Elk Grove, CA 95624-1801
Phone (916) 686-7568

Other practice location 1

8912 Volunteer Ln
Sacramento, CA 95826-3221
Phone (916) 344-0199

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
117777CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1396210522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9510 ELK GROVE FLORIN RD",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956241801",
            "telephone_number": "916-686-7568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9510 ELK GROVE FLORIN RD",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956241801",
            "telephone_number": "916-686-7568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8912 Volunteer Ln",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958263221",
            "country_code": "US",
            "telephone_number": "916-344-0199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REZENTES",
        "first_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-03",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "117777",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.