MRS. DRETONA TENESE MADDOX RN, PHN, LCSW
NPI 1417083643
Social Worker - Clinical in Riverside, CA

Active since February 23, 2007
1410 3RD ST, SUITE 2, RIVERSIDE, CA 92507(909) 471-0697(760) 302-7607 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 8, 2023, Nov 20, 2020, Oct 26, 2020 (3 updates tracked since 2020).

About Mrs. Dretona Tenese Maddox Rn, Phn, Lcsw NPPES

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

MRS. DRETONA TENESE MADDOX RN, PHN, LCSW (NPI 1417083643) is an individual clinical provider in Riverside, California, licensed in California (81337) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1417083643
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. DRETONA TENESE MADDOXCredential: RN, PHN, LCSW
Location Address1410 3RD ST, SUITE 2Riverside, CA 92507-3482
Mailing Address1410 3rd St, Suite 2Riverside, CA 92507-3482 · (909) 471-0697 · Fax (760) 302-7607
Fax(760) 302-7607
Sole ProprietorNo
Enumeration DateFebruary 23, 2007
Last NPPES UpdateAugust 8, 20233 updates tracked since enumeration
NPPES CertifiedAugust 8, 2023
NPI 1417083643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · 81337
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 ListedRegistered NurseTaxonomy 163W00000X · License 618042 (CA)
Also ListedRegistered Nurse · Case ManagementTaxonomy 163WC0400X · License 618042 (CA)
Also ListedRegistered Nurse · Community HealthTaxonomy 163WC1500X · License 618042 (CA)
Also ListedRegistered Nurse · Continuing Education/Staff DevelopmentTaxonomy 163WC1600X · License 618042 (CA)
Also ListedRegistered Nurse · Maternal NewbornTaxonomy 163WM0102X · License 618042 (CA)
Also ListedRegistered Nurse · Neonatal Intensive CareTaxonomy 163WN0002X · License 618042 (CA)
Also ListedRegistered Nurse · Neonatal, Low-RiskTaxonomy 163WN0003X · License 618042 (CA)
Also ListedRegistered Nurse · Nutrition SupportTaxonomy 163WN1003X · License 618042 (CA)
Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X · License 618042 (CA)
Also ListedRegistered Nurse · Psychiatric/Mental Health, Child & AdolescentTaxonomy 163WP0807X · License 618042 (CA)
1410 3RD ST, Riverside, CA 92507

Other Identifiers 2

MedicaidRVN004760CA
MedicaidEPS016610CA

Other Providers at the Same Location NPPES

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

Residential Treatment Facility, Emotionally Disturbed Children
1410 3RD ST, SUITE 2
RIVERSIDE, CA 92507

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 Dretona Maddox's NPI number?

The NPI number for Dretona Maddox is 1417083643. It was assigned to this individual provider in the NPPES registry on February 23, 2007.

Where is Dretona Maddox located?

Dretona Maddox practices at 1410 3rd St Suite 2, Riverside, CA 92507. The listed phone number is (909) 471-0697.

What is Dretona Maddox'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 Dretona Maddox was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.