Individual provider Active NPI

Felicia Isabel Profit, MSW, ASW

  • Clinical Social Worker
  • Murrieta, CA
National Provider Identifier
1083185383
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
100756 Issued in CA
Practice address
24904 Shoshone Dr
Murrieta, CA 92562-5826
Phone
(858) 205-4250
NPI assigned
Dec 12, 2018
Last updated
May 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X 100756 CA Primary

Addresses

Primary practice location

24904 Shoshone Dr
Murrieta, CA 92562-5826

Mailing address

24904 Shoshone Dr
Murrieta, CA 92562-5826
Phone (858) 205-4250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
100756CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Telecare Corporation Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1544572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1083185383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24904 SHOSHONE DR",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625826",
            "telephone_number": "858-205-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24904 SHOSHONE DR",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625826",
            "telephone_number": "858-205-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROFIT",
        "first_name": "FELICIA",
        "middle_name": "ISABEL",
        "name_prefix": "Mrs.",
        "credential": "MSW, ASW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-12",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "100756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.