Dustina Oma Cordero, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

82175 Issued in CA

Practice address

5584 Glowhaven St
Marysville, CA 95901-8748

Phone

(530) 218-0314

NPI assigned

Feb 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dustina Oma Woods Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1861528176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5584 GLOWHAVEN ST",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959018748",
            "telephone_number": "530-218-0314",
            "fax_number": "530-618-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5584 GLOWHAVEN ST",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959018748",
            "telephone_number": "530-218-0314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1352 Colusa Hwy Ste C",
            "address_purpose": "LOCATION",
            "city": "Yuba City",
            "state": "CA",
            "postal_code": "959939147",
            "country_code": "US",
            "telephone_number": "530-618-8178",
            "fax_number": "530-618-8031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORDERO",
        "first_name": "DUSTINA",
        "middle_name": "OMA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "82175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DUSTINA",
            "last_name": "WOODS",
            "middle_name": "OMA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lizbeth Colon-Jagdharry, CPSS
• Timothy Jacob Connelly, RBT
• Angela P Cook, RN
• Nicole Abagail Cook
• Mark Cope
• Core Charter School
• Elva Cortez
• Brieanna Cottrell
• Joseph M. Coulter, M.D.
• County of Sutter

• Clinical Social Worker in Marysville, CA
• Providers in Marysville, 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 May 12, 2022; 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.