ANTONINA ELIZABETH CUTRUFELLI SELFRIDGE
NPI 1891207650
Social Worker in Santa Rosa, CA

Q: What is Antonina Elizabeth Selfridge's NPI number?

The NPI number for Antonina Elizabeth Selfridge is 1891207650. It was assigned to this individual provider in the NPPES registry on November 1, 2017.

Q: What is Antonina Elizabeth Selfridge's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Active since November 01, 2017PECOS Enrolled

3333 CHANATE RD, SANTA ROSA, CA 95404(707) 565-5017 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 15, 2026, Nov 1, 2017 (2 updates tracked since 2017).

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About Antonina Elizabeth Cutrufelli Selfridge NPPES

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

ANTONINA ELIZABETH CUTRUFELLI SELFRIDGE (NPI 1891207650) is an individual social worker in Santa Rosa, California, licensed in California (122147) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891207650

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameANTONINA ELIZABETH CUTRUFELLI SELFRIDGE

Location Address3333 CHANATE RDSanta Rosa, CA 95404-1707

Mailing Address3333 Chanate RdSanta Rosa, CA 95404-1707 · (707) 565-5017

Phone(707) 565-5017

Sole ProprietorNo

Enumeration DateNovember 1, 2017

Last NPPES UpdateApril 15, 20262 updates tracked since enumeration

NPPES CertifiedApril 15, 2026

✔ NPI 1891207650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in CA · 122147

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

3333 CHANATE RD, Santa Rosa, CA 95404

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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)

Antonina Elizabeth Cutrufelli Selfridge 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.

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.

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