Active NPI
Lanesha Raquel Ziegler
- Social Worker
- San Bernardino, CA
National Provider Identifier
1063180685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 93825
- Practice address
- 104 W 4TH St
San Bernardino, CA 92415-4194 - Phone
- (909) 382-7881
- NPI assigned
- Aug 30, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 93825 | CA | Primary |
Addresses
Primary practice location
104 W 4TH St
San Bernardino, CA 92415-4194
Mailing address
11755 Malaga Dr Unit 1060
Rancho Cucamonga, CA 91730-8124
Phone (424) 348-9921
Other practice location 1
14500 Roscoe Blvd Ste 400
Panorama City, CA 91402-4194
Phone (800) 764-8981 ext. 700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 93825 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of San Bernardino | Current | Accepting new patients |
Locations
104 W 4th St
San Bernardino, CA 92415
Phone (909) 382-7879
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adult Mental Health Clinic/Center
- San Bernardino, CA
- NPI 1740532647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698364800000",
"number": "1063180685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11755 MALAGA DR UNIT 1060",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917308124",
"telephone_number": "424-348-9921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 W 4TH ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924154194",
"telephone_number": "909-382-7881"
}
],
"practiceLocations": [
{
"address_1": "14500 Roscoe Blvd Ste 400",
"address_purpose": "LOCATION",
"city": "Panorama City",
"state": "CA",
"postal_code": "914024194",
"country_code": "US",
"telephone_number": "800-764-8981 x700",
"fax_number": "818-935-6189",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZIEGLER",
"first_name": "LANESHA",
"middle_name": "RAQUEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-30",
"last_updated": "2023-10-27",
"certification_date": "2023-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "93825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.