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ROSA SHETTY
NPI 1508125147
Social Worker - Clinical in Ontario, CA

Active since May 15, 2012PECOS Enrolled
3330 CENTRE LAKE DR, ONTARIO, CA 91761(909) 974-4701 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 30, 2021, Jan 4, 2017 (2 updates tracked since 2017).

About Rosa Shetty NPPES

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

ROSA SHETTY (NPI 1508125147) is an individual clinical provider in Ontario, California, licensed in California (28358) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508125147
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameROSA SHETTY
Location Address3330 CENTRE LAKE DROntario, CA 91761-1211
Mailing Address3330 Centre Lake DrOntario, CA 91761-1211 · (909) 974-4701
Phone(909) 974-4701
Sole ProprietorYes
Enumeration DateMay 15, 2012
Last NPPES UpdateNovember 30, 20212 updates tracked since enumeration
NPPES CertifiedNovember 30, 2021
✔ NPI 1508125147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 28358
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.
3330 CENTRE LAKE DR, Ontario, CA 91761
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rosa Shetty 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91761 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 $59.60 – $179.42
Typical copayment $0.00 (range $14.90 – $44.85)
Most-billed visit code NA
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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 9

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

IRENE BACUS
Registered Nurse
3330 CENTRE LAKE DR
ONTARIO, CA 91761
San Bernardino County (909) 974-4704
DR. DHAVAL H PATEL M.D.
Clinic/Center (Adult Mental Health)
3330 CENTRE LAKE DR
ONTARIO, CA 91761
San Bernardino County (866) 205-3595
MS. SAMANTHA WOLSKY LMFT
Marriage & Family Therapist
3330 CENTRE LAKE DR
ONTARIO, CA 91761
San Bernardino County (866) 266-3595
CHRISTINE LYNN WILLIAMS LCSW
Social Worker (Clinical)
3330 CENTRE LAKE DR
ONTARIO, CA 91761
San Bernardino County (909) 974-4770
MRS. RACHEL MARIE LAIRMORE LMFT
Counselor (Mental Health)
3330 CENTRE LAKE DR
ONTARIO, CA 91761
San Bernardino County (866) 205-3595
VIRGINIA DOLORES ESCOTO-GONZALEZ LMFT
Marriage & Family Therapist
3330 CENTRE LAKE DR
ONTARIO, CA 91761
San Bernardino County (866) 205-3595
JOHN VISTA LMFT
Marriage & Family Therapist
3330 CENTRE LAKE DR
ONTARIO, CA 91761
San Bernardino County (866) 205-3595
ROBERT PAUL RODRIGUEZ
Case Manager/Care Coordinator
3330 CENTRE LAKE DR
ONTARIO, CA 91761
San Bernardino County (866) 205-3595

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 Rosa Shetty's NPI number?

The NPI number for Rosa Shetty is 1508125147. It was assigned to this individual provider in the NPPES registry on May 15, 2012.

Where is Rosa Shetty located?

Rosa Shetty practices at 3330 Centre Lake Dr, Ontario, CA 91761. The listed phone number is (909) 974-4701.

What is Rosa Shetty's specialty?

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

Is Rosa Shetty enrolled in Medicare?

Yes. Rosa Shetty is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rosa Shetty was last updated on November 30, 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.