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ROSANNA GUSTAFSON
NPI 1669874202
Social Worker - Clinical in San Bernardino, CA

Active since September 25, 2014PECOS EnrolledAccepts Medicare Assignment
900 E GILBERT ST COTTAGE # 4, SAN BERNARDINO, CA 92415(909) 387-7020(909) 387-7611 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 2, 2025, May 11, 2018 (2 updates tracked since 2018).

About Rosanna Gustafson NPPES

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

ROSANNA GUSTAFSON (NPI 1669874202) is an individual clinical provider in San Bernardino, California, licensed in California (82654) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2012).

NPPES Registry Identity

NPI1669874202
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameROSANNA GUSTAFSON
Location Address900 E GILBERT ST COTTAGE # 4San Bernardino, CA 92415-0920
Mailing Address26001 Redlands BlvdRedlands, CA 92373-7762 · (909) 825-7084
Phone(909) 387-7020
Fax(909) 387-7611
Sole ProprietorYes
Medical School CMSLoma Linda University School Of MedicineGraduated 2012
Enumeration DateSeptember 25, 2014
Last NPPES UpdateSeptember 2, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2025
✔ NPI 1669874202 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 · 82654
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 ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 37127 (CA)
900 E GILBERT ST COTTAGE # 4, San Bernardino, CA 92415
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Other Identifiers 1

Medicaid82654CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rosanna Gustafson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547613853
PECOS Enrollment IDI20240201003693
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 92415 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 2

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

MR. MATTHEW JAY MCCLENAHAN ASW
Social Worker (Clinical)
900 E GILBERT ST COTTAGE # 4
SAN BERNARDINO, CA 92415
San Bernardino County (909) 387-7009
MELISSA LOPEZ
Counselor
900 E GILBERT ST COTTAGE # 4
SAN BERNARDINO, CA 92415
San Bernardino County (951) 358-4840

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 Rosanna Gustafson's NPI number?

The NPI number for Rosanna Gustafson is 1669874202. It was assigned to this individual provider in the NPPES registry on September 25, 2014.

Where is Rosanna Gustafson located?

Rosanna Gustafson practices at 900 E Gilbert St Cottage # 4, San Bernardino, CA 92415. The listed phone number is (909) 387-7020.

What is Rosanna Gustafson's specialty?

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

Is Rosanna Gustafson enrolled in Medicare?

Yes. Rosanna Gustafson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Rosanna Gustafson accept?

Health plans from MedMutual and UnitedHealthcare list Rosanna Gustafson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rosanna Gustafson was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.