Rudolfo Castro, LCSW
Social Worker, Clinical in Los Angeles, CA. Individual provider (NPI-1).
NPI number1124336953
StatusActive
Last updated in NPPESFeb 23, 2025
Details
- NPI
- 1124336953
- Entity type
- Individual (NPI-1)
- Name
- Rudolfo Castro
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 14, 2010
- Certification date
- Feb 23, 2025
- Last updated
- Feb 23, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCSW99038 | CA | Yes |
| 225400000X | Rehabilitation Practitioner | – | – |
Practice location
4221 Wilshire BlvdLos Angeles, CA 90010-3512
Phone 213-677-7005
Mailing address
Po Box 3102Landers, CA 92285-0102
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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