Heidi Gergurich, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

126455 Issued in CA

Practice address

43082 Pudding CT
Temecula, CA 92592-4355

Phone

(951) 387-8039

NPI assigned

Jun 29, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sud Specialty Group - CaGroup PAC ID 9537534177, 519 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sud Specialty Group - Ca

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Santa Clara, CA
  • NPI 1972138238

  Clinical

  Medicare reassignment Care Compare group NPD
• Tiffani Taft Marriage Family Therapy Professional Corporation

  • Marriage & Family Therapist
  • Menifee, CA
  • NPI 1992329528
  Medicare reassignment NPD
• Telecare

  • Peer Specialist
  • Perris, CA
  • NPI 1992320329
  NPD (past)

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1093447864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43082 PUDDING CT",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925924355",
            "telephone_number": "951-387-8039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43082 PUDDING CT",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925924355",
            "telephone_number": "951-387-8039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27412 Enterprise Cir W Ste 205",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925904875",
            "country_code": "US",
            "telephone_number": "951-387-8039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERGURICH",
        "first_name": "HEIDI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "126455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George L Hunter MFT
• Aylisa George, BCBA
• Cathleen Geraghty Jenkinson, PH.D.
• Emily Canavan Gerdes
• Rania Gerges
• Geri-Fit Company LLC
• Gary Carl Geroza, PTA
• Gloria Jean Ghanem-Ybarra, PSY.D.
• Ariga Gharibian
• Kaitlyn Mitra Ghassemi, DO

• Clinical Social Worker in Temecula, CA
• Providers in Temecula, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.