Organization Active NPI

Redman Licensed Clinical Social Worker PC

  • Clinical Social Worker
  • Desert Hot Springs, CA
National Provider Identifier
1013510064
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
REDMAN LICENSED CLINICAL SOCIAL WORKER PC
Practice address
64880 Cochran CT
Desert Hot Springs, CA 92240-1414
Phone
(909) 206-3272
NPI assigned
Nov 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Michelle Marianne Redman, LCSWNPI 1437659992
Title
Licensed Clinical Social Worker
Phone
(909) 206-3272

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

64880 Cochran CT
Desert Hot Springs, CA 92240-1414

Mailing address

64880 Cochran CT
Desert Hot Springs, CA 92240-1414
Phone (909) 206-3272

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605830400000",
    "number": "1013510064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64880 COCHRAN CT",
            "city": "DESERT HOT SPRINGS",
            "state": "CA",
            "postal_code": "922401414",
            "telephone_number": "909-206-3272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64880 COCHRAN CT",
            "city": "DESERT HOT SPRINGS",
            "state": "CA",
            "postal_code": "922401414",
            "telephone_number": "909-206-3272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDMAN LICENSED CLINICAL SOCIAL WORKER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A",
        "authorized_official_last_name": "REDMAN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "MARIANNE",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "909-206-3272",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desert Hot Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.