Individual provider Active NPI

Asher Denise Lutz, LCSW, MS, PPSC

  • Clinical Social Worker
  • Temecula, CA
National Provider Identifier
1093364465
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
110152 Issued in CA
Practice address
28459 Plymouth Way
Temecula, CA 92591-3544
Phone
(619) 301-6788
Fax
(949) 249-7001
NPI assigned
Sep 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X R1359900819 CA
Social Worker 104100000X ASW82933 CA
School Social Worker 1041S0200X 110152 CA
Clinical Social Worker 1041C0700X 110152 CA Primary

Addresses

Primary practice location

28459 Plymouth Way
Temecula, CA 92591-3544

Mailing address

30650 Rancho California Rd
Suite D406 #359
Temecula, CA 92591
Phone (619) 301-6788

Other practice location 1

1234 Arcadia Ave
Vista, CA 92084-3404
Phone (619) 301-6788

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
I20230815001001 CA Practitioner - Clinical Social Worker 8729440359 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
R1359900819CAMDAddiction (Substance Use Disorder) Counselor
ASW82933CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Clinical CurrentSince Nov 7, 2023 Accepting new patients
Empower You Therapy Inc. CurrentSince Apr 23, 2023 Accepting new patients
Glenn Medical Center, LLC PastSince Jul 2, 2023 Accepting new patients

Locations

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1093364465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30650 RANCHO CALIFORNIA RD",
            "address_2": "SUITE D406 #359",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "92591",
            "telephone_number": "619-301-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28459 PLYMOUTH WAY",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925913544",
            "telephone_number": "619-301-6788",
            "fax_number": "949-249-7001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1234 Arcadia Ave",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "920843404",
            "country_code": "US",
            "telephone_number": "619-301-6788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUTZ",
        "first_name": "ASHER",
        "middle_name": "DENISE",
        "credential": "LCSW, MS, PPSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1359900819",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW82933",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "CA",
            "license": "110152",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "110152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.