Gina Vennette Florez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW93039 Issued in CA

Practice address

11201 Benton St.
Loma Linda, CA 92357

Phone

(951) 601-4401

Fax

(951) 601-4348

NPI assigned

Apr 20, 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 names 1

• Ms. Gina Vennette Rojas Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1397952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1457771297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1752 E. LUGONLA AVE. STE. 117-1046",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "92374",
            "telephone_number": "909-372-5874",
            "fax_number": "951-601-4348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 BENTON ST.",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "92357",
            "telephone_number": "951-601-4401",
            "fax_number": "951-601-4348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOREZ",
        "first_name": "GINA",
        "middle_name": "VENNETTE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-20",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW93039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "ROJAS",
            "middle_name": "VENNETTE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brian Alexander Flores
• Christopher John Flores
• Jennifer Flores, PHARM.D.
• Josefina Flores, CRNA
• Jon Floresca
• Synthia Darlene Florez, LCSW
• Renato Moises Florian, M.D.
• Rosemarie Florian, M.D.
• Rosario Floridia Jr., M.D.
• Stephanie Elizabeth Fluitt, PA-C

• Clinical Social Worker in Loma Linda, CA
• Providers in Loma Linda, 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 Mar 23, 2023; 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.