Individual provider Active NPI

Stella Botello, ASW

  • Clinical Social Worker
  • Visalia, CA
National Provider Identifier
1710114061
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW62646 Issued in CA
Practice address
320 W Oak Ave
Visalia, CA 93291-4929
Phone
(559) 625-2995
NPI assigned
Jun 14, 2009
Last updated
Apr 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2020

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 LCSW62646 CA Primary

Addresses

Primary practice location

320 W Oak Ave
Visalia, CA 93291-4929

Mailing address

320 W Oak Ave
Visalia, CA 93291-4929
Phone (559) 625-2995

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
I20230220000616 CA Practitioner - Clinical Social Worker 0042682130 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW62646CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kaweah Delta Health Care District CurrentSince Jan 13, 2023 Accepting new patients
Kaweah Delta Health Care District CurrentSince Jan 13, 2023 Accepting new patients
Central Valley Recovery Services, Inc.. PastSince Mar 22, 2020 Accepting new patients
Centraol Valley Recovery Services, Inc. PastSince Mar 22, 2020 Accepting new patients

Locations

202 W Willow Ave
Ste 502
Visalia, CA 93291
Phone (559) 624-4820

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

840 S Akers St
Visalia, CA 93277
Phone (559) 624-3700

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1244937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585872000000",
    "number": "1710114061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 W OAK AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914929",
            "telephone_number": "559-625-2995",
            "fax_number": "559-625-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W OAK AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914929",
            "telephone_number": "559-625-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTELLO",
        "first_name": "STELLA",
        "credential": "ASW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-14",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW62646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.