Individual provider Active NPI

Candice Daniella Catalen Rodriguez

  • Clinical Social Worker
  • Covina, CA
National Provider Identifier
1437881489
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ASW90354 Issued in CA
Practice address
1650 E Old Badillo St # B3
Covina, CA 91724-3163
Phone
(626) 251-2300
NPI assigned
Jun 28, 2022
Last updated
Jun 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ASW90354 CA Primary

Addresses

Primary practice location

1650 E Old Badillo St # B3
Covina, CA 91724-3163

Mailing address

517 S Newhope St Apt 21
Santa Ana, CA 92704-2186
Phone (714) 300-3143

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250826003091 CA Practitioner - Clinical Social Worker 7012417785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Masonic Homes of CaliforniaGroup PAC ID 4183625361, 7 clinicians

Practice addresses (Care Compare)

1650 E Old Badillo St
Covina, CA 91724-3163
Phone (626) 251-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW90354CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Masonic Homes of California Current Accepting new patients
Masonic Homes of California CurrentSince Jun 12, 2025 Accepting new patients
Masonic Homes of California CurrentSince Jun 12, 2025 Accepting new patients

Locations

1650 E Old Badillo St
Covina, CA 91724
Phone (626) 251-2200

1650 E Old Badillo St
#B3
Covina, CA 91724
Phone (626) 251-2300

1650 E Old Badillo St
Ste B3
Covina, CA 91724

1111 California St
San Francisco, CA 94108

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1437881489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 S NEWHOPE ST APT 21",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927042186",
            "telephone_number": "714-300-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 E OLD BADILLO ST # B3",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917243163",
            "telephone_number": "626-251-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "CANDICE",
        "middle_name": "DANIELLA CATALEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW90354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

Verify at the official NPI Registry.