Individual provider Active NPI

Maria Terry Geldres-Becerra, LCSW

  • Clinical Social Worker
  • Parlier, CA
National Provider Identifier
1497191233
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
86911 Issued in CA
Practice address
650 S Zediker Ave
Parlier, CA 93648-2666
Phone
(559) 646-3561
Fax
(559) 646-6676
NPI assigned
May 20, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X 86911 CA Primary

Addresses

Primary practice location

650 S Zediker Ave
Parlier, CA 93648-2666

Mailing address

2705 Highland Ave
Selma, CA 93662-3389
Phone (559) 891-9003

Other practice location 1

3333 E American Ave
Fresno, CA 93725-9247
Phone (559) 600-4878

Other identifiers 1

IdentifierTypeStateIssuer
LCSW86911OtherCALICENSED CLINICAL SOCIAL WORKER

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
I20181210001919 CA Order and Referring Only - Clinical Social Worker 7618211137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86911CAMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: maria.terry.geldres-becerra.1@17661.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1497191233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 HIGHLAND AVE",
            "city": "SELMA",
            "state": "CA",
            "postal_code": "936623389",
            "telephone_number": "559-891-9003",
            "fax_number": "559-891-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 S ZEDIKER AVE",
            "city": "PARLIER",
            "state": "CA",
            "postal_code": "936482666",
            "telephone_number": "559-646-3561",
            "fax_number": "559-646-6676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 E American Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937259247",
            "country_code": "US",
            "telephone_number": "559-600-4878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GELDRES-BECERRA",
        "first_name": "MARIA",
        "middle_name": "TERRY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-20",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "86911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL SOCIAL WORKER",
            "identifier": "LCSW86911",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parlier, CA

Sources for this page

Verify at the official NPI Registry.