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JULISSA CABALLERO LCSW
NPI 1053444612
Social Worker - Clinical in Modesto, CA

Active since March 13, 2007PECOS Enrolled
2020 COFFEE RD STE A5, MODESTO, CA 95355(209) 248-5505 Get Directions Write a Review

NPPES record last updated: November 9, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Julissa Caballero Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JULISSA CABALLERO LCSW (NPI 1053444612) is an individual clinical provider in Modesto, California, licensed in California (81320) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Modesto.

NPPES Registry Identity

NPI1053444612
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJULISSA CABALLEROCredential: LCSW
Location Address2020 COFFEE RD STE A5Modesto, CA 95355-2407
Mailing Address2020 Coffee Rd Ste 5Modesto, CA 95355-2427 · (209) 248-5505
Phone(209) 248-5505
Sole ProprietorYes
Enumeration DateMarch 13, 2007
Last NPPES UpdateNovember 9, 2021
NPPES CertifiedNovember 9, 2021
✔ NPI 1053444612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 81320
Definition
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.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
2020 COFFEE RD STE A5, Modesto, CA 95355
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Secondary Practice Location 1

Location 1617 W Granger Ave Apt 84Modesto, CA 95350-4152 · Phone (209) 526-2624

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Julissa Caballero Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Julissa Caballero reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Golden Valley Health Center
1.1 mi
Federally Qualified Health Center (FQHC)
1524 MCHENRY AVE STE 565
Modesto, CA 95350
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Golden Valley Health Centers
  • 440 clinicians in this Medicare group
NPI 1134727746 (866) 682-4842

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95355 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.87 – $176.60
Typical copayment $0.00 (range $14.71 – $44.15)
Most-billed visit code NA
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAREN A BOLTWOOD
Marriage & Family Therapist
2020 COFFEE RD STE A5
MODESTO, CA 95355
Stanislaus County (209) 248-5505
JOSEPH BORGONIA LMFT
Marriage & Family Therapist
2020 COFFEE RD STE A5
MODESTO, CA 95355
Stanislaus County (925) 399-1294

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Julissa Caballero's NPI number?

The NPI number for Julissa Caballero is 1053444612. It was assigned to this individual provider in the NPPES registry on March 13, 2007.

Where is Julissa Caballero located?

Julissa Caballero practices at 2020 Coffee Rd Ste A5, Modesto, CA 95355. The listed phone number is (209) 248-5505.

What is Julissa Caballero's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Julissa Caballero enrolled in Medicare?

Yes. Julissa Caballero is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Julissa Caballero's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Julissa Caballero reassigns Medicare benefits to Golden Valley Health Center (Modesto, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Julissa Caballero's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Julissa Caballero was last updated on November 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.