Individual provider Active NPI

Grecia Marisol Alfaro Ruiz, MSW, LCSW

  • Clinical Social Worker
  • San Jose, CA
National Provider Identifier
1700483005
Registry record updated Jan 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW136356 Issued in CA
Practice address
485 N 1St St
San Jose, CA 95112-4067
Phone
(408) 554-2550
NPI assigned
Oct 8, 2020
Last updated
Jan 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ASW108511 CA
Clinical Social Worker 1041C0700X LCSW136356 CA Primary

Addresses

Primary practice location

485 N 1St St
San Jose, CA 95112-4067

Mailing address

481 N 1St St
San Jose, CA 95112-4031
Phone (408) 497-7287

Other names 1

  • Grecia M Alfaro Ruiz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10812 Cotter St
Oakland, CA 94605-5603

2615 Ashby Ave
Berkeley, CA 94705-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW108511CAMDClinical Social Worker
LCSW136356CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768003200000",
    "number": "1700483005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 N 1ST ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951124031",
            "telephone_number": "408-497-7287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 N 1ST ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951124067",
            "telephone_number": "408-554-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFARO RUIZ",
        "first_name": "GRECIA",
        "middle_name": "MARISOL",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2026-01-10",
        "certification_date": "2026-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW108511",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW136356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRECIA",
            "last_name": "ALFARO RUIZ",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.