Johanna Guadalupe Ruiz Velasco

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

122353 Issued in CA

Practice address

937 Coffee Rd
Modesto, CA 95355-4240

Phone

(209) 892-5902

NPI assigned

Oct 10, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Johanna Guadalupe Gonzalez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New Beginnings Child, Adolescent and Family Counseling Inc

  • Adolescent and Children Mental Health Clinic/Center
  • Patterson, CA
  • NPI 1336664325
  NPD (past)

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1548041114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 COFFEE RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953554233",
            "telephone_number": "209-892-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 COFFEE RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953554240",
            "telephone_number": "209-892-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ VELASCO",
        "first_name": "JOHANNA",
        "middle_name": "GUADALUPE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-10",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "122353",
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHANNA",
            "last_name": "GONZALEZ",
            "middle_name": "GUADALUPE",
            "prefix": "MISS",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sophia Ruhl
• Erica Beatris Ruiz Aguilar
• Marcela Ruiz Albor
• Maria Ruiz Olide, B.A.
• Jayra Ruiz Olivarez
• Adriana Leticia Ruiz
• Ashley Ruiz
• Cassandra Ruiz
• Claudia Ruiz
• Evelyn Ruiz

• Clinical Social Worker in Modesto, CA
• Providers in Modesto, 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 31, 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.