Individual provider Active NPI

Lindsey Elizabeth Hersh, MSW, ASW, PPS

  • Clinical Social Worker
  • San Jacinto, CA
National Provider Identifier
1093281453
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
104065 Issued in CA
Practice address
500 Idyllwild Dr
San Jacinto, CA 92583-2615
Phone
(951) 929-7700
NPI assigned
Oct 23, 2018
Last updated
May 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X CA
Clinical Social Worker 1041C0700X 104065 CA Primary

Addresses

Primary practice location

500 Idyllwild Dr
San Jacinto, CA 92583-2615

Mailing address

35980 Rhone LN
Winchester, CA 92596-9165
Phone (951) 252-3789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220713002714 CA Practitioner - Clinical Social Worker 4981085578 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Psychiatric Medical Group, Inc. CurrentSince Jun 17, 2022 Accepting new patients
Inland Psychiatric Medical Group, Inc. Clinical CurrentSince Jun 17, 2022 Accepting new patients

Locations

4160 Temescal Canyon Rd
Ste 408
Corona, CA 92883
Phone (951) 344-4451

162 N Santa Fe St
Hemet, CA 92543
Phone (951) 506-9522

23110 Atlantic Cir
Ste F
Moreno Valley, CA 92553
Phone (951) 243-6455

1809 W Redlands Blvd
Redlands, CA 92373
Phone (909) 307-1320

4049 Brockton Ave
Riverside, CA 92501
Phone (951) 300-8124

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1093281453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35980 RHONE LN",
            "city": "WINCHESTER",
            "state": "CA",
            "postal_code": "925969165",
            "telephone_number": "951-252-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 IDYLLWILD DR",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925832615",
            "telephone_number": "951-929-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSH",
        "first_name": "LINDSEY",
        "middle_name": "ELIZABETH",
        "credential": "MSW, ASW, PPS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-23",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "104065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jacinto, CA

Sources for this page

Verify at the official NPI Registry.