Healthcare Provider Details

I. General information

NPI: 1912838004
Provider Name (Legal Business Name): RR LICENSED CLINICAL SOCIAL WORKER CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3530 W MINERAL KING AVE
VISALIA CA
93291-5600
US

IV. Provider business mailing address

PO BOX 1869
VISALIA CA
93279-1869
US

V. Phone/Fax

Practice location:
  • Phone: 559-571-2762
  • Fax:
Mailing address:
  • Phone: 559-571-2762
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DR. ROSIE RINCON HERNANDEZ
Title or Position: LCSW
Credential: LCSW, EDD
Phone: 559-571-2762