Social Resources Connection Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SOCIAL RESOURCES CONNECTION INC

Practice address

5005 La Mart Dr Ste 100B3
Riverside, CA 92507-8902

Phone

(562) 505-5945

NPI assigned

Aug 22, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Yvonne Gabriella Rodriguez, LCSWNPI 1639375777

Title

Ceo

Phone

(562) 505-5945

Specialties & licenses 1

Addresses

Electronic endpoints 2

Tax ID family

Social Resources Connection Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Social Resources Connection Inc

  • Clinical Social Worker
  • Moreno Valley, CA
  • NPI 1184271298
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yvonne Gabriella Rodriguez, MSW

  • Clinical Social Worker
  • Santa Ana, CA
  • NPI 1639375777
  NPD Authorized official
• Telana Mone Courseault

  • Assistant Health Information Record Technician
  • Moreno Valley, CA
  • NPI 1306963392
  NPD

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1659928752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11019 REICHLING LN",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906061508",
            "telephone_number": "562-505-5945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 LA MART DR STE 100B3",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925078902",
            "telephone_number": "562-505-5945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11019 Reichling Ln",
            "address_purpose": "LOCATION",
            "city": "Whittier",
            "state": "CA",
            "postal_code": "906061508",
            "country_code": "US",
            "telephone_number": "562-505-5945 x56250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOCIAL RESOURCES CONNECTION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-22",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "GABRIELLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-505-5945",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tcourseault@srcpro.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "word",
            "address_1": "11019 Reichling Ln",
            "city": "Whittier",
            "state": "CA",
            "country_code": "US",
            "postal_code": "906061508",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tcourseault@srcpro.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "word document or PDF",
            "address_1": "5005 La Mart Dr Ste 100B3",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925078902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Community/Behavioral Health Agency in Riverside, CA
• Providers in Riverside, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.

Verify at the official NPI Registry.