Individual provider Active NPI

Eunice Rebecca Uribes

  • Clinical Social Worker
  • Fresno, CA
National Provider Identifier
1710364674
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
91535 Issued in CA
Practice address
2540 W Shaw LN Ste 117
Fresno, CA 93711-2700
Phone
(831) 776-9279
NPI assigned
Apr 29, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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 91535 CA Primary

Addresses

Primary practice location

2540 W Shaw LN Ste 117
Fresno, CA 93711-2700

Mailing address

2540 W Shaw LN Ste 117
Fresno, CA 93711-2700
Phone (831) 776-9279

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 11, 2023 through Apr 11, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Better Together Mental Health Services Mental Health CurrentSince Mar 24, 2024 Accepting new patients

Locations

2540 W Shaw Ln
Ste 117
Fresno, CA 93711
Phone (559) 549-7033

Organizations & group practices 1

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": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1710364674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 W SHAW LN STE 117",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937112700",
            "telephone_number": "831-776-9279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 W SHAW LN STE 117",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937112700",
            "telephone_number": "831-776-9279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URIBES",
        "first_name": "EUNICE",
        "middle_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-29",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "91535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.