Healthcare Provider Details

I. General information

NPI: 1679253280
Provider Name (Legal Business Name): RACHEL RIOJAS MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/19/2023
Last Update Date: 01/24/2025
Certification Date: 01/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 MCHENRY VILLAGE WAY STE 11B
MODESTO CA
95350-4341
US

IV. Provider business mailing address

3155 NIAGRA ST APT 139
TURLOCK CA
95382-1085
US

V. Phone/Fax

Practice location:
  • Phone: 209-604-0542
  • Fax:
Mailing address:
  • Phone: 209-604-0542
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: