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Rosanna Gustafson, CSW

Clinical Social Worker · Santa Clara

NPI 1669874202

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
2
2 carriers
Offices
2

Offices

2 locations · Sud Specialty Group - CA · Tiffani Taft Marriage Family Therapy Professional Corporation

Looking this up.

Plans that list them

2 plans · 2 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Rosanna Gustafson’s office to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

2 of 2 plans

Plans whose provider directory lists this clinician
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026
Anthem Prime (HMO-POS)Anthem Blue Cross Partnership PlanListedOct 3, 2026

California Medical Board record

Licence A82654 · Cancelled

Licence status: Cancelled · since 2003 · University of North Dakota School of Medicine.

License has been voluntarily canceled, or the license has been expired for at least five years and has not been renewed. No practice is permitted.

Matched on the licence number without its letter prefix; check the name before relying on it.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Medicaid work

$79,040 in 2024

Medicaid paid $79,040 for 687 billed services this clinician did in 2024, up to 30 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
Psychotherapy, 60 minutes with patient687$79,040
Medicaid work by year
2024687130$79,040
2023289224$30,116
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Psychotherapy, 60 minutes with patient275$28,297
PSYCH DIAGNOSTIC EVALUATION14$1,819

Professional record

NPI
1669874202
Licence
CA 37127, CA 82654California A82654: Cancelled
Trained
Loma Linda University School of Medicine, 2012
Group
Sud Specialty Group - CA · Tiffani Taft Marriage Family Therapy Professional Corporation
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
Yes
Medicaid ID
CA 82654
Taxonomy
Federal specialty code 1041C0700X (1041C0700X); Federal specialty code 101YM0800X (101YM0800X)
Mailing address
26001 Redlands Blvd, Redlands, CA, 92373
NPI first listed
2014-09-25
NPI last updated
2025-09-02
NPI record certified
2025-09-02

This is when the NPI record was last certified, not a medical board exam.