RUDOLPHO PEREZ (NPI# 1871741553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871741553 |
| Entity Type | Individual |
| Full Name | RUDOLPHO PEREZ |
| Credential | MSW INTERN |
| Practice Address |
1007 Myrtle Ave Inglewood CA 90301 |
| Mailing Address |
4760 S. Sepulveda Blvd Culver City CA 90230 |
| Practice Telephone | 3104124131 |
| Mailing Telephone | 3104124191 |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2019-09-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 89427 | CA | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
91751 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1007 Myrtle Ave, Inglewood, CA 90301 | 3104124131 |
| Street Address |
1007 MYRTLE AVE |
| City | INGLEWOOD |
| State | CA |
| Zip Code | 90301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467583518 | Didi Hirsch Psychiatric Service | Community Based Residential Treatment Facility, Mental Illness | 1007 Myrtle Ave, Inglewood, CA 90301-4009 | 2007-03-08 |
| 1003379405 | Armando Javier Rivera Rivera | Counselor | 1007 Myrtle Ave, Inglewood, CA 90301-4009 | 2019-04-11 |
| 1972097665 | Edith Collazo | Counselor | 1007 Myrtle Ave, Inglewood, CA 90301 | 2018-06-18 |
| 1295232551 | Adriana Elena Gramsas | Counselor | 1007 Myrtle Ave, Inglewood, CA 90301-4009 | 2018-04-12 |
| 1407365976 | Hannah Zimmermann | Counselor | 1007 Myrtle Ave, Inglewood, CA 90301-4009 | 2017-09-27 |
| 1982139028 | Michele Denise Hassan Ferguson | Licensed Vocational Nurse | 1007 Myrtle Ave, Inglewood, CA 90301-4009 | 2017-04-26 |
| 1982159513 | Erica Sutton | Counselor | 1007 Myrtle Ave, Inglewood, CA 90301-4009 | 2016-08-24 |
| 1275088726 | Lawrence Aladiume | Counselor | 1007 Myrtle Ave, Inglewood, CA 90301-4009 | 2016-08-24 |
| 1417305855 | Trevin Richardson | Counselor | 1007 Myrtle Ave, Inglewood, CA 90301-4009 | 2016-05-26 |
| 1437504982 | Jazmin Meshea Johnson | Counselor | 1007 Myrtle Ave, Inglewood, CA 90301-4009 | 2016-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548897945 | Genevieve V. Angel | Registered Nurse | 555 East Hardy Street, Director of Cm Sw, Centinela Hospital Medical Center, Inglewood, CA 90301 | 2020-03-25 |
| 1992338552 | Ralph Kevin Roque | Licensed Practical Nurse | 614 W Manchester Blvd, Inglewood, Ca 90301, 104, Inglewood, CA 90301 | 2020-02-21 |
| 1043841562 | Evelyn Jones | Social Worker | 555 E. Hardy Street, Inglewood, Ca, CA 90301 | 2020-02-03 |
| 1447896444 | Coral Dabarera Edelson | Dietitian, Registered | 110 North La Brea Ave, Inglewood, CA 90301 | 2019-11-25 |
| 1821642125 | Jennifer Robert Umoh | Student in an Organized Health Care Education/Training Program | 412 E Florence Avenue, Inglewood, CA 90301 | 2019-07-25 |
| 1821567751 | Esther Voltaire | Behavior Technician | 619 E Arbor Vitae St, Inglewood, CA 90301 | 2018-11-21 |
| 1902372832 | Pool Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 323 North Prairie Ave, Suite 200, Ingelwood, CA 90301 | 2018-10-18 |
| 1174003594 | Xelnt Healthcare Inc. | Clinic/Center | 501 E Hardy St Ste 425, Inglewood, CA 90301 | 2018-08-15 |
| 1710409321 | Rae Shelston Mcintosh | Licensed Vocational Nurse | 1007 Myrth Ave, Inglewood, CA 90301 | 2017-07-14 |
| 1477093789 | Lewis E Logan II | Counselor | 332 N. Prairie Ave., Suite 417, Inglewood, CA 90301 | 2017-03-06 |
| Find all providers in zip 90301 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720606106 | Verda R Bradley | Social Worker | 1061 E Hyde Park Blvd, Inglewood, CA 90302-1801 | 2020-07-11 |
| 1417577651 | Geovanni Santoyo | Social Worker | 815 Walnut St Apt 4, Inglewood, CA 90301-4903 | 2020-04-17 |
| 1457995995 | Tiffany Wright | Social Worker | 3907 W 111th St, Inglewood, CA 90303-2140 | 2019-10-28 |
| 1740830967 | Natasha Wells | Social Worker | 8711 1/2 S Van Ness Ave, Inglewood, CA 90305-2512 | 2019-09-19 |
| 1801347307 | Michelle Adams | Social Worker | 2930 W. Imperial Hwy., Ste. 310, Inglewood, CA 90303 | 2016-10-19 |
| 1720453590 | Natasha Cole | Social Worker | 730 Cory Dr, #10, Inglewood, CA 90302-3804 | 2015-12-04 |
| 1417207739 | Tristian E Mitchell | Social Worker | 302 E Manchester Blvd Ste 203, Inglewood, CA 90301-1815 | 2012-09-13 |
| 1962750398 | Sonya Rena Rock | Social Worker | 300 E Hillcrest Blvd, #911, Inglewood, CA 90301-9997 | 2012-08-15 |
| 1316145527 | Jennifer Shepard Payne | Social Worker | 3425 W Manchester Blvd # 4, Inglewood, CA 90305-2101 | 2007-07-10 |
| 1215153036 | Martha Marie Watson | Social Worker | 2930 W Imperial Hwy Ste 310, Inglewood, CA 90303-3141 | 2007-04-18 |
| Find all providers in INGLEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.