Johanna Guadalupe Ruiz Velasco
Social Worker, Clinical in Modesto, CA. Individual provider (NPI-1).
NPI number1548041114
StatusActive
Last updated in NPPESMar 31, 2026
Details
- NPI
- 1548041114
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Johanna Guadalupe Ruiz Velasco
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 10, 2023
- Certification date
- Mar 31, 2026
- Last updated
- Mar 31, 2026
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 | 122353 | CA | Yes |
| 172V00000X | Community Health Worker | – | – |
Other names
- Johanna Guadalupe Gonzalez (Former Name)
Practice location
937 Coffee RdModesto, CA 95355-4240
Phone 209-892-5902
Mailing address
800 Coffee RdModesto, CA 95355-4233
Phone 209-892-5902
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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All 211 Clinical Social Worker providers in Modesto · All 10,803 providers in Modesto
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