Individual provider Active NPI

Roselyn E Nunez, LCSW

  • Clinical Social Worker
  • Fresno, CA
National Provider Identifier
1538354634
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
89709 Issued in CA
Practice address
7575 N Cedar Ave Ste 102
Fresno, CA 93720-2693
Phone
(559) 203-3775
Fax
(559) 326-0607
NPI assigned
Sep 11, 2007
Last updated
Sep 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Clinical Social Worker 1041C0700X 89709 CA Primary

Addresses

Primary practice location

7575 N Cedar Ave Ste 102
Fresno, CA 93720-2693

Mailing address

5447 N Rosalia Ave
Fresno, CA 93723-7642
Phone (559) 367-1431

Other practice location 1

106 Pollasky Ave Ste D
Clovis, CA 93612-1159
Phone (559) 203-3775

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
89709CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mindcure, Inc CurrentSince Sep 5, 2023 Accepting new patients

Locations

106 Pollasky Ave
Ste D
Clovis, CA 93612
Phone (559) 203-3775

7575 N Cedar Ave
Ste 102
Fresno, CA 93720
Phone (559) 203-3775

Organizations & group practices 1

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": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1538354634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5447 N ROSALIA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937237642",
            "telephone_number": "559-367-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 N CEDAR AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202693",
            "telephone_number": "559-203-3775",
            "fax_number": "559-326-0607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Pollasky Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936121159",
            "country_code": "US",
            "telephone_number": "559-203-3775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUNEZ",
        "first_name": "ROSELYN",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "89709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.