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LUCILA CARMONA RODRIGUEZ
NPI 1255713210
Social Worker - Clinical in San Luis Obispo, CA

Active since June 25, 2015
2178 JOHNSON AVE, SAN LUIS OBISPO, CA 93401(805) 461-6113(805) 461-6061 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 12, 2024, Oct 5, 2020, Jul 5, 2018 (3 updates tracked since 2018).

About Lucila Carmona Rodriguez NPPES

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

LUCILA CARMONA RODRIGUEZ (NPI 1255713210) is an individual clinical provider in San Luis Obispo, California, licensed in California (126734) and active in the NPI registry since June 2015. She maintains a secondary practice location in San Luis Obispo.

NPPES Registry Identity

NPI1255713210
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLUCILA CARMONA RODRIGUEZ
Location Address2178 JOHNSON AVESan Luis Obispo, CA 93401-4535
Mailing Address2180 Johnson AveSan Luis Obispo, CA 93401-4558 · (805) 461-6113
Phone(805) 461-6113
Fax(805) 461-6061
Sole ProprietorNo
Enumeration DateJune 25, 2015
Last NPPES UpdateDecember 12, 20243 updates tracked since enumeration
NPPES CertifiedDecember 12, 2024
✔ NPI 1255713210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 126734
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 ListedSocial WorkerTaxonomy 104100000X · License 96277 (CA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2178 JOHNSON AVE, San Luis Obispo, CA 93401
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Secondary Practice Location 1

Location 11255 Kendall RdSan Luis Obispo, CA 93401 · Phone (805) 781-3535

Other Providers at the Same Location NPPES 20

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

CALLIE ROSE BOLLER
Marriage & Family Therapist
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4700
CAMDEN SCHLEISNER
Psychiatric Hospital
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4711
SUSIE JULIANA BAUTISTA
Marriage & Family Therapist
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4960
THOMAS BURDICK
Counselor (Mental Health)
2178 JOHNSON AVE
SAN LUIS OBISBO, CA 93401
San Luis Obispo County (805) 781-4711
KIMBERLY SEAMAN
Counselor (Mental Health)
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4700
JENNIFER N KUIKEN LPT
Licensed Psychiatric Technician
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4712
RONALD ANTHONY VERDUSCO
Nurse's Aide
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4711
RANDY LEE SCHEIDERER PSYCHIATRIC TECH
Licensed Psychiatric Technician
2178 JOHNSON AVE
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 781-4723

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 Lucila Carmona Rodriguez's NPI number?

The NPI number for Lucila Carmona Rodriguez is 1255713210. It was assigned to this individual provider in the NPPES registry on June 25, 2015.

Where is Lucila Carmona Rodriguez located?

Lucila Carmona Rodriguez practices at 2178 Johnson Ave, San Luis Obispo, CA 93401. The listed phone number is (805) 461-6113.

What is Lucila Carmona Rodriguez's specialty?

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

When was this NPI record last updated?

The NPPES record for Lucila Carmona Rodriguez was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.