Provider Demographics
NPI:1912735994
Name:RHOADES, PAULINA (ASW)
Entity type:Individual
Prefix:
First Name:PAULINA
Middle Name:
Last Name:RHOADES
Suffix:
Gender:F
Credentials:ASW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25581 INDIAN HILL LN UNIT H
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-6097
Mailing Address - Country:US
Mailing Address - Phone:949-813-6131
Mailing Address - Fax:
Practice Address - Street 1:1000 QUAIL ST STE 290
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-2743
Practice Address - Country:US
Practice Address - Phone:949-662-1297
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-23
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1100661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical