Pricila Miuzett Rodas Hurtado, LCSW 94415

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

94415 Issued in CA

Practice address

8263 Grove Ave Ste 201
Rancho Cucamonga, CA 91730-3107

Phone

(909) 579-0708

Fax

(909) 579-0778

NPI assigned

Aug 29, 2012

Last updated

Oct 13, 2022By the provider in NPPES

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)

Enrolled

State licenses

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1982953584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 E. HUNTINGTON DR.",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "91010",
            "telephone_number": "626-280-6510",
            "fax_number": "626-288-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8263 GROVE AVE STE 201",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303107",
            "telephone_number": "909-579-0708",
            "fax_number": "909-579-0778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5045 N Burnaby Dr",
            "address_purpose": "LOCATION",
            "city": "Covina",
            "state": "CA",
            "postal_code": "917241404",
            "country_code": "US",
            "telephone_number": "323-485-0613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODAS HURTADO",
        "first_name": "PRICILA",
        "middle_name": "MIUZETT",
        "credential": "LCSW 94415",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW71518",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "94415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rockcreek, Inc.
• Rockcreek, Inc. (Calle House)
• Rockcreek, Inc. (Teak House)
• Evelyn Silvia Rodarte
• Meilani Alicia Rodarte
• Lissanka Mercedes Rodas
• Lauren Nicole-Kubeck Rodgers, PA-C
• Nichole Marie Rodgers, PT
• Kim Rodrigues
• Erika Rodriguez Euceda

• Clinical Social Worker in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, 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 Oct 13, 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.