Individual provider Active NPI

Lizet Rios

  • Clinical Social Worker
  • Jurupa Valley, CA
National Provider Identifier
1780053132
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ASW87784 Issued in CA
Practice address
3924 Riverview Dr
Jurupa Valley, CA 92509-6611
Phone
(951) 360-4175
NPI assigned
Sep 16, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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 ASW87784 CA Primary
Counselor 101Y00000X

Addresses

Primary practice location

3924 Riverview Dr
Jurupa Valley, CA 92509-6611

Mailing address

3924 Riverview Dr
Jurupa Valley, CA 92509-6611
Phone (951) 360-4175

Other practice location 1

6711 Arlington Ave
Riverside, CA 92504
Phone (951) 352-3943

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

State licenses

LicenseStateTypeSpecialty
ASW87784CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jurupa Unified School District Clinical CurrentSince Oct 4, 2020 Accepting new patients

Locations

3924 Riverview Dr
Riverside, CA 92509
Phone (951) 360-4175

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": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1780053132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3924 RIVERVIEW DR",
            "city": "JURUPA VALLEY",
            "state": "CA",
            "postal_code": "925096611",
            "telephone_number": "951-360-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3924 RIVERVIEW DR",
            "city": "JURUPA VALLEY",
            "state": "CA",
            "postal_code": "925096611",
            "telephone_number": "951-360-4175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6711 Arlington Ave",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "92504",
            "country_code": "US",
            "telephone_number": "951-352-3943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIOS",
        "first_name": "LIZET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-16",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW87784",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jurupa Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.