Marshawn Rodgers
Individual provider Active NPI Clinical Social Worker · Acton, CA
NPI 1659403269 · NPPES record last updated Sep 1, 2022
Key facts
- NPI
- 1659403269
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 110179 (CA)
- Practice address
- 30500 Arrastre Canyon Rd
Acton, CA 93510 - Phone
- (661) 223-8882
- NPI assigned
- Mar 9, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110179 | CA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | 110179 | CA | Yes |
Addresses
Primary practice location
30500 Arrastre Canyon Rd
Acton, CA 93510
Mailing address
1050 E Palmdale Blvd Ste 211
Palmdale, CA 93550-4750
Phone (661) 208-9704
Other providers in Acton, CA
- Palmerrx Inc
- Phillip Vincent Pinto
- Rachel Radcliffe
- Christine Ramos
- Cheryl Riven
- Teri A Rogers
- Erik Romero
- Santiago Physical Therapy Inc
- Delores Sims
- Sober Nation
All providers in Acton, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.