Active NPI
Rowena Rose Tanare
- Clinical Social Worker
- Palm Springs, CA
National Provider Identifier
1639637101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ACSW110746
- Practice address
- 2500 N Palm Canyon Dr
Palm Springs, CA 92262-1868 - Phone
- (760) 904-4957
- NPI assigned
- Mar 4, 2019
- Reactivated
- Jan 4, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Social Worker | 1041C0700X | ACSW110746 | CA | Primary |
Addresses
Primary practice location
2500 N Palm Canyon Dr
Palm Springs, CA 92262-1868
Mailing address
3605 E Ramon Rd
Palm Springs, CA 92264-1150
Phone (760) 325-5630
Other practice location 1
3605 E Ramon Rd
Palm Springs, CA 92264-1150
Phone (760) 325-5630
Other practice location 2
1270 Natividad Rd
Salinas, CA 93906-3144
Phone (831) 755-4510
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACSW110746 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674172800000",
"number": "1639637101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3605 E RAMON RD",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922641150",
"telephone_number": "760-325-5630",
"fax_number": "760-325-5668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 N PALM CANYON DR",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922621868",
"telephone_number": "760-904-4957"
}
],
"practiceLocations": [
{
"address_1": "3605 E Ramon Rd",
"address_purpose": "LOCATION",
"city": "Palm Springs",
"state": "CA",
"postal_code": "922641150",
"country_code": "US",
"telephone_number": "760-325-5630",
"fax_number": "760-325-5668",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1270 Natividad Rd",
"address_purpose": "LOCATION",
"city": "Salinas",
"state": "CA",
"postal_code": "939063144",
"country_code": "US",
"telephone_number": "831-755-4510",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TANARE",
"first_name": "ROWENA",
"middle_name": "ROSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-04",
"last_updated": "2023-01-20",
"certification_date": "2023-01-20",
"deactivation_date": "2022-12-02",
"reactivation_date": "2023-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ACSW110746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.