Active NPI
Janette Rodriguez
- Clinical Social Worker
- Fountain Valley, CA
National Provider Identifier
1720646623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 121031
- Practice address
- 18350 Mount Langley St Ste 220
Fountain Valley, CA 92708-6912 - Phone
- (714) 378-2620
- NPI assigned
- Jun 5, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 121031 | CA | Primary |
Addresses
Primary practice location
18350 Mount Langley St Ste 220
Fountain Valley, CA 92708-6912
Mailing address
23461 S Pointe Dr Ste 220
Laguna Hills, CA 92653-1523
Phone (949) 855-1556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Alternatives Inc. | Past | Accepting new patients | |
| Western Youth Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Case Management Agency
- Fountain Valley, CA
- NPI 1174989735
-
- Community/Behavioral Health Agency
- Fountain Valley, CA
- NPI 1215484019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708041600000",
"number": "1720646623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23461 S POINTE DR STE 220",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926531523",
"telephone_number": "949-855-1556",
"fax_number": "949-951-2871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18350 MOUNT LANGLEY ST STE 220",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927086912",
"telephone_number": "714-378-2620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "JANETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-05",
"last_updated": "2024-02-16",
"certification_date": "2024-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "121031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.