Valery Degollado Ponce

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ASW107208 Issued in CA

Practice address

246 Alder St
Quincy, CA 95971-9405

Phone

(562) 284-0184

NPI assigned

Aug 28, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1952882722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 ALDER ST",
            "city": "QUINCY",
            "state": "CA",
            "postal_code": "959719405",
            "telephone_number": "562-284-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 ALDER ST",
            "city": "QUINCY",
            "state": "CA",
            "postal_code": "959719405",
            "telephone_number": "562-284-0184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 E Chapman Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "92831",
            "country_code": "US",
            "telephone_number": "714-680-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2025 E 7th St",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908044590",
            "country_code": "US",
            "telephone_number": "562-284-0184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEGOLLADO PONCE",
        "first_name": "VALERY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW107208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayla Renee Coral
• County of Plumas (Quincy Wellness Center)
• County of Plumas
• County of Plumas
• Candice Coursey, NP
• Karen Delasaux, LVN
• Michael Chad Cascade Dimick, PT
• Kandice Doerring
• Kristen Marie Dolan, M.A.
• DRS. Gilman & Gilman

• Clinical Social Worker in Quincy, CA
• Providers in Quincy, 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 Apr 5, 2023; 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.