Active NPI
Holly E Navarrete, LCSW
- Clinical Social Worker
- Riverside, CA
National Provider Identifier
1629061551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS18729
- Practice address
- 5055 Canyon Crest Dr Ste 225
Riverside, CA 92507-6015 - Phone
- (951) 818-4560
- Fax
- (951) 346-3783
- NPI assigned
- Aug 25, 2005
- Last updated
- Aug 4, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS18729 | CA | Primary |
Addresses
Primary practice location
5055 Canyon Crest Dr Ste 225
Riverside, CA 92507-6015
Mailing address
5055 Canyon Crest Dr Ste 225
Riverside, CA 92507-6015
Phone (951) 818-4560
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LCS18729 | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCS18729 | CA | MD | Clinical Social Worker |
| 18729 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628035200000",
"number": "1629061551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5055 CANYON CREST DR STE 225",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925076015",
"telephone_number": "951-818-4560",
"fax_number": "951-346-3783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5055 CANYON CREST DR STE 225",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925076015",
"telephone_number": "951-818-4560",
"fax_number": "951-346-3783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAVARRETE",
"first_name": "HOLLY",
"middle_name": "E",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-25",
"last_updated": "2021-08-04",
"certification_date": "2021-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS18729",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LCS18729",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.