Individual provider · Type 1 NPI

Johanna Guadalupe Ruiz Velasco

Clinical Social Worker · Modesto, CA

NPI number 1548041114 Active

Practice location

937 Coffee Rd
Modesto, CA 95355-4240

Call (209) 892-5902 Map

Mailing address

800 Coffee Rd
Modesto, CA 95355-4233

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X122353 (CA)
Community Health Worker 172V00000XNone listed

Clinical Social Worker: 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 interpers…

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About NPI 1548041114

Johanna Guadalupe Ruiz Velasco's National Provider Identifier is 1548041114, issued on Oct 10, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Modesto, CA. The record was last updated on Mar 31, 2026.