Active NPI
Enrique Rosario, LCSW 136730
- Clinical Social Worker
- Fresno, CA
National Provider Identifier
1912646696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 136730
- Practice address
- 1225 M St
Fresno, CA 93721-1805 - Phone
- (559) 706-7428
- NPI assigned
- Jun 1, 2022
- Last updated
- May 28, 2026
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 136730 | CA | Primary |
| Social Worker | 104100000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Counselor | 101Y00000X | 113359 | CA | |
| Mental Health Counselor | 101YM0800X | 113359 | CA |
Addresses
Primary practice location
1225 M St
Fresno, CA 93721-1805
Mailing address
1393 Bailey St
Hanford, CA 93230-5922
Phone (559) 582-4481
Other practice location 1
1393 Bailey St
Hanford, CA 93230-5922
Phone (559) 582-4481
Other practice location 2
208 23rd St
Richmond, CA 94804-1830
Phone (510) 216-4601 ext. 87012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1041 E Yorba Linda Blvd
Suite 202
Placentia, CA 92870-3760
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113359 | CA | MD | Marriage & Family Therapist |
| 136730 | CA | MD | Family Medicine Physician |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Placentia, CA
- NPI 1093398059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779926400000",
"number": "1912646696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1393 BAILEY ST",
"city": "HANFORD",
"state": "CA",
"postal_code": "932305922",
"telephone_number": "559-582-4481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 M ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937211805",
"telephone_number": "559-706-7428"
}
],
"practiceLocations": [
{
"address_1": "1393 Bailey St",
"address_purpose": "LOCATION",
"city": "Hanford",
"state": "CA",
"postal_code": "932305922",
"country_code": "US",
"telephone_number": "559-582-4481",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "208 23rd St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "CA",
"postal_code": "948041830",
"country_code": "US",
"telephone_number": "510-216-4601 x87012",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSARIO",
"first_name": "ENRIQUE",
"credential": "LCSW 136730",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-06-01",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "136730",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "113359",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "113359",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.