Active NPI
Rodolfo L Garza, L.C.S.W
- Clinical Social Worker
- Madera, CA
National Provider Identifier
1891957247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS11299
- Practice address
- 500 E Almond Ave Ste 2B
Madera, CA 93637-5600 - Phone
- (559) 661-7574
- Fax
- (559) 661-4874
- NPI assigned
- Jun 26, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | LCS11299 | CA | Primary |
Addresses
Primary practice location
500 E Almond Ave Ste 2B
Madera, CA 93637-5600
Mailing address
500 E Almond Ave Ste 2B
Madera, CA 93637-5600
Phone (559) 661-7574
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ340212 | Other | CA | PROVIDER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11299 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| LCS11299 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214438400000",
"number": "1891957247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 E ALMOND AVE STE 2B",
"city": "MADERA",
"state": "CA",
"postal_code": "936375600",
"telephone_number": "559-661-7574",
"fax_number": "559-661-4874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 E ALMOND AVE STE 2B",
"city": "MADERA",
"state": "CA",
"postal_code": "936375600",
"telephone_number": "559-661-7574",
"fax_number": "559-661-4874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARZA",
"first_name": "RODOLFO",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "L.C.S.W",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-26",
"last_updated": "2008-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS11299",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER",
"identifier": "ZZZ340212",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Madera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.