Individual provider Active NPI

Maria E. Cancelada, MSW

  • Social Worker
  • Temecula, CA
National Provider Identifier
1134263189
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
19498 Issued in CA
Practice address
41002 County Center Dr
Temecula, CA 92591-6027
Phone
(951) 600-6355
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 19498 CA Primary

Addresses

Primary practice location

41002 County Center Dr
Temecula, CA 92591-6027

Mailing address

41002 County Center Drive
Temecula, CA 92591-1487
Phone (951) 600-6355

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
I20250826004779 CA Practitioner - Clinical Social Worker 1557624244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

27349 Jefferson Ave
Suite 111
Temecula, CA 92590-5610

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Psych Partners CurrentSince May 31, 2025 Accepting new patients
Psychology Partners a Prof Corp PastSince Sep 14, 2025 Accepting new patients

Locations

27349 Jefferson Ave
Ste 111
Temecula, CA 92590
Phone (949) 201-8260

Interoperability endpoints

  • Direct secure messaging: maria.cancelada.1@24284.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296172800000",
    "number": "1134263189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41002 COUNTY CENTER DRIVE",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925911487",
            "telephone_number": "951-600-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41002 COUNTY CENTER DR",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925916027",
            "telephone_number": "951-600-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANCELADA",
        "first_name": "MARIA",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2011-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "19498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.