Mrs Rosa Tupina Yaotonalcuauhtli-orta, LMSW is a
Social Worker - Clinical based in Crockett, California. Mrs Rosa Tupina Yaotonalcuauhtli-orta is licensed to practice in Texas (license number S24687) and her current practice location is
904 5th Ave, Crockett, California. She can be reached at her office (for appointments etc.) via phone at
(510) 787-6937.
NPI number for Mrs Rosa Tupina Yaotonalcuauhtli-orta is 1033319009 and her current mailing address is 904 5th Ave, Crockett, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033319009.
Healthcare Provider's Profile
Full Name | Mrs Rosa Tupina Yaotonalcuauhtli-orta |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 904 5th Ave, Crockett, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1033319009
- Provider Enumeration Date: 07/18/2007
- Last Update Date: 07/18/2007
Medical Identifiers
Medical identifiers for Mrs Rosa Tupina Yaotonalcuauhtli-orta such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033319009 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | S24687 (Texas) | Primary |
251S00000X | Community/behavioral Health | S24687 (Texas) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Rosa Tupina Yaotonalcuauhtli-orta is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Rosa Tupina Yaotonalcuauhtli-orta, LMSW 904 5th Ave, Crockett, CA 94525-1319 Ph: (510) 787-6937 | Mrs Rosa Tupina Yaotonalcuauhtli-orta, LMSW 904 5th Ave, Crockett, CA 94525-1319 Ph: (510) 787-6937 |
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