Mrs Dretona Tenese Maddox, RN, PHN, LCSW - Social Worker in Riverside, CA

  1. Home
Mrs Dretona Tenese Maddox, RN, PHN, LCSW is a Social Worker - Clinical based in Riverside, California. Mrs Dretona Tenese Maddox is licensed to practice in California (license number 81337) and her current practice location is 1410 3rd St, Suite 2, Riverside, California. She can be reached at her office (for appointments etc.) via phone at (909) 471-0697.

NPI number for Mrs Dretona Tenese Maddox is 1417083643 and her current mailing address is 1410 3rd St, Suite 2, Riverside, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417083643.

Contact Information

Mrs Dretona Tenese Maddox, RN, PHN, LCSW
1410 3rd St, Suite 2,
Riverside, CA 92507-3482
(909) 471-0697
(760) 302-7607

Map and Direction




Provider's Profile

Full NameMrs Dretona Tenese Maddox
GenderFemale
SpecialitySocial Worker - Clinical
Location1410 3rd St, Riverside, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1417083643
  • Provider Enumeration Date: 02/23/2007
  • Last Update Date: 08/08/2023

Medical Identifiers

Medical identifiers for Mrs Dretona Tenese Maddox such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417083643NPI-NPPES
RVN004760MedicaidCA
EPS016610MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 618042 (California)Secondary
163WC0400XRegistered Nurse - Case Management 618042 (California)Secondary
163WC1500XRegistered Nurse - Community Health 618042 (California)Secondary
163WC1600XRegistered Nurse - Continuing Education/staff Development 618042 (California)Secondary
163WM0102XRegistered Nurse - Maternal Newborn 618042 (California)Secondary
163WN0002XRegistered Nurse - Neonatal Intensive Care 618042 (California)Secondary
163WN0003XRegistered Nurse - Neonatal, Low-risk 618042 (California)Secondary
163WN1003XRegistered Nurse - Nutrition Support 618042 (California)Secondary
163WP0200XRegistered Nurse - Pediatrics 618042 (California)Secondary
163WP0807XRegistered Nurse - Psychiatric/mental Health, Child & Adolescent 618042 (California)Secondary
1041C0700XSocial Worker - Clinical 81337 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Dretona Tenese Maddox is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Dretona Tenese Maddox, RN, PHN, LCSW
1410 3rd St, Suite 2,
Riverside, CA 92507-3482

Ph: (909) 471-0697		Mrs Dretona Tenese Maddox, RN, PHN, LCSW
1410 3rd St, Suite 2,
Riverside, CA 92507-3482

Ph: (909) 471-0697

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.