Individual provider Active NPI

Yvonne Gabriella Rodriguez, MSW

  • Clinical Social Worker
  • Santa Ana, CA
National Provider Identifier
1639375777
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
29377 Issued in CA
Practice address
2001 E 4TH St Ste 200
Santa Ana, CA 92705-3916
Phone
(714) 824-8140
NPI assigned
Jun 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 29377 CA Primary

Addresses

Primary practice location

2001 E 4TH St Ste 200
Santa Ana, CA 92705-3916

Mailing address

2001 E 4TH St Ste 200
Santa Ana, CA 92705-3916
Phone (562) 708-4492

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
I20160115002524 CA Practitioner - Clinical Social Worker 5799088225 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Social Resources Connection IncGroup PAC ID 7719316066, 2 clinicians

Practice addresses (Care Compare)

23945 Sunnymead Blvd
Suite 3
Moreno Valley, CA 92553-3025
Phone (562) 200-4381

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Social Resources Connection Inc Current Accepting new patients
Social Resources Network, Inc. Clinical CurrentSince Jan 31, 2021 Accepting new patients
Social Resources Connection Inc Clinical CurrentSince Mar 1, 2020 Accepting new patients
Tri-City Mental Health Center Past Accepting new patients

Locations

2601 W Ball Rd
Ste 103
Anaheim, CA 92804

23945 Sunnymead Blvd
Ste 3
Moreno Valley, CA 92553
Phone (562) 200-4381

2001 E 4th St
Ste 200
Santa Ana, CA 92705
Phone (714) 824-8140

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1639375777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 E 4TH ST STE 200",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053916",
            "telephone_number": "562-708-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 E 4TH ST STE 200",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053916",
            "telephone_number": "714-824-8140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "YVONNE",
        "middle_name": "GABRIELLA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "29377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.