# COUNTY OF RIVERSIDE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144101486
- **Authorized official:** MRS. CHARITY DOUGLAS (DIRECTOR OF DEPARTMENT OF PUBLIC SO)
- **Authorized official phone:** (951) 358-6995

## Contact information

- **Practice address:** 4060 COUNTY CIRCLE DRIVE, RIVERSIDE, CA 92503
- **Practice address phone:** (951) 358-3030
- **Mailing address:** 4060 COUNTY CIRCLE DRIVE, RIVERSIDE, CA 92503
- **Mailing address phone:** (951) 358-3030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 172V00000X | Community Health Worker | — | NULL | — |
| 172V00000X | Community Health Worker | — | — | — |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/11/2025
- **Last updated:** 09/11/2025