Be Resilient Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS22172 Issued in CA

Legal business name

BE RESILIENT INC

Practice address

1601 Carmen Dr # 215G
Camarillo, CA 93010-3105

Phone

(805) 205-5797

NPI assigned

May 9, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Jacqueline Parodi, LCSWNPI 1508982901

Title

Ceo

Phone

(805) 205-5797

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline Nicole Parodi, LCSW

  • Clinical Social Worker
  • Simi Valley, CA
  • NPI 1508982901
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669507200000",
    "number": "1780173260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CARMEN DR # 215G",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930103105",
            "telephone_number": "805-205-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 CARMEN DR # 215G",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930103105",
            "telephone_number": "805-205-5797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Science Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Moorpark",
            "state": "CA",
            "postal_code": "930212095",
            "country_code": "US",
            "telephone_number": "805-205-5797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BE RESILIENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-09",
        "last_updated": "2022-11-27",
        "certification_date": "2022-11-27",
        "status": "A",
        "authorized_official_last_name": "PARODI",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-205-5797",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS22172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NIP NUMBER",
            "identifier": "1508982901",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ernesto Osuna Bautista
• Gloria Bautista
• Richard Joel Bautista
• Lenier Sean Baxter
• Desiree Nichole Bazile, LVN
• Shellie Beach
• Angela Jill Beck
• Sharon Louise Beck, MSW, LCSW
• Timothy Beckett
• George Bedarian, LVN

• Clinical Social Worker in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.