IndividualActive
Johanna Ruiz Velasco
NPI 1548041114 · Clinical Social Worker · Modesto, CA
Provider details
- NPI number
- 1548041114
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 122353 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Community Health Worker172V00000X
Other Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
937 Coffee Rd
Modesto, CA 95355-4240
Phone: (209) 892-5902
Street-level locationGet directions
Mailing address
800 Coffee Rd
Modesto, CA 95355-4233
Registry dates
- Enumerated
- 2023-10-10
- Last updated
- 2026-03-31
- Certified
- 2026-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.