Active NPI
Viridian Impact Psychotherapy, Inc
- Clinical Social Worker
- Hemet, CA
National Provider Identifier
1124996319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- VIRIDIAN IMPACT PSYCHOTHERAPY, INC
- Practice address
- 4800 Bloomwood CT
Hemet, CA 92545-8041 - Phone
- (951) 254-2313
- NPI assigned
- Oct 28, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Virginia Capello, LCSW
- Title
- Ceo
- Phone
- (949) 922-0712
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
4800 Bloomwood CT
Hemet, CA 92545-8041
Mailing address
131 Continental Dr Ste 305
Newark, DE 19713-4324
National Provider Directory
National Provider DirectoryLocations
131 Continental Dr
Ste 305
Newark, DE 19713
Phone (267) 752-5585
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Hemet, CA
- NPI 1427557396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761609600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761609600000",
"number": "1124996319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 CONTINENTAL DR STE 305",
"city": "NEWARK",
"state": "DE",
"postal_code": "197134324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 BLOOMWOOD CT",
"city": "HEMET",
"state": "CA",
"postal_code": "925458041",
"telephone_number": "951-254-2313"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIRIDIAN IMPACT PSYCHOTHERAPY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-28",
"last_updated": "2025-10-28",
"certification_date": "2025-10-28",
"status": "A",
"authorized_official_last_name": "CAPELLO",
"authorized_official_first_name": "VIRGINIA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "949-922-0712",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hemet, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.