Individual provider Active NPI

Clara Flor-Vera

  • Clinical Social Worker
  • Santa Rosa, CA
National Provider Identifier
1639941065
Registry record updated Nov 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
75656 Issued in CA
Practice address
1349 Manhattan Way
Santa Rosa, CA 95401-4517
Phone
(707) 569-4823
NPI assigned
Oct 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2023

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 75656 CA Primary

Addresses

Primary practice location

1349 Manhattan Way
Santa Rosa, CA 95401-4517

Mailing address

1349 Manhattan Way
Santa Rosa, CA 95401-4517
Phone (707) 569-4823

Other practice location 1

3438 Mendocino Ave
Santa Rosa, CA 95403-2275
Phone (707) 387-4525

Other practice location 2

1202 Apollo Way
Santa Rosa, CA 95407-6777
Phone (707) 565-4300

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
I20231205001931 CA Practitioner - Clinical Social Worker 1557719341 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoma Therapy Network CurrentSince Nov 1, 2023 Accepting new patients
Sonoma Therapy Network Support Services Inc Clinical PastSince Nov 1, 2023 Accepting new patients

Locations

3438 Mendocino Ave
#B
Santa Rosa, CA 95403
Phone (707) 387-4525

Organizations & group practices 2

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": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700265600000",
    "number": "1639941065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 MANHATTAN WAY",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014517",
            "telephone_number": "707-569-4823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 MANHATTAN WAY",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014517",
            "telephone_number": "707-569-4823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3438 Mendocino Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954032275",
            "country_code": "US",
            "telephone_number": "707-387-4525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1202 Apollo Way",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954076777",
            "country_code": "US",
            "telephone_number": "707-565-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLOR-VERA",
        "first_name": "CLARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-11-18",
        "certification_date": "2023-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "75656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.