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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mrs. Dretona Tenese Maddox, RN, PHN, LCSW

Clinical Social Worker in Riverside, CA · enumerated 2007 · practices at Purposely Chosen, Inc..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417083643

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Registry record

Entity type Individual (Type 1)
Name Mrs. Dretona Tenese Maddox
Credential RN, PHN, LCSW
Sex Female
Practice address 1410 3rd St, Suite 2, Riverside, CA, 92507
Phone (909) 471-0697
Fax (760) 302-7607
Enumeration date Feb 23, 2007
Last updated in NPPES Aug 8, 2023

Taxonomy & licenses

163W00000X Registered Nurse Nursing Service Providers · License 618042 (CA) Secondary
163WC0400X Case Management Registered Nurse Nursing Service Providers · License 618042 (CA) Secondary
163WC1500X Community Health Registered Nurse Nursing Service Providers · License 618042 (CA) Secondary
163WC1600X Continuing Education/Staff Development Registered Nurse Nursing Service Providers · License 618042 (CA) Secondary
163WM0102X Maternal Newborn Registered Nurse Nursing Service Providers · License 618042 (CA) Secondary
163WN0002X Neonatal Intensive Care Registered Nurse Nursing Service Providers · License 618042 (CA) Secondary
163WN0003X Low-Risk Neonatal Registered Nurse Nursing Service Providers · License 618042 (CA) Secondary
163WN1003X Nutrition Support Registered Nurse Nursing Service Providers · License 618042 (CA) Secondary
163WP0200X Pediatric Registered Nurse Nursing Service Providers · License 618042 (CA) Secondary
163WP0807X Child & Adolescent Psychiatric/Mental Health Registered Nurse Nursing Service Providers · License 618042 (CA) Secondary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License 81337 (CA) Primary
RN · Registered Nurse: A nurse who completed an accredited nursing program and passed the NCLEX-RN licensure exam. About the RN credential

Other identifiers

Identifier Type State Issuer
RVN004760 Medicaid CA -
EPS016610 Medicaid CA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1417083643 active?
Yes, as of the latest NPPES snapshot, NPI 1417083643 is active (record last updated 2023-08-08).
How do I verify Dretona Maddox's NPI record?
Cross-check NPI 1417083643 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-08-08.