Individual provider Active NPI

Susan Montoya-Bell, LCSW

  • Clinical Social Worker
  • Chino, CA
National Provider Identifier
1144790890
Registry record updated Nov 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW12775 Issued in CA
Practice address
13193 Central Ave Ste 200
Chino, CA 91710-4179
Phone
(909) 902-9111
Fax
(909) 902-9199
NPI assigned
Nov 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW12775 CA Primary

Addresses

Primary practice location

13193 Central Ave Ste 200
Chino, CA 91710-4179

Mailing address

13193 Central Ave Ste 200
Chino, CA 91710-4179
Phone (909) 902-9111

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
I20190112000077 CA Practitioner - Clinical Social Worker 2163768177 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW12775CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Health Service Alliance CurrentSince Jul 1, 2019 Accepting new patients
Health Service Alliance Current Accepting new patients
Health Service Alliance CurrentSince Jul 1, 2019 Accepting new patients

Locations

13193 Central Ave
Ste 100
Chino, CA 91710
Phone (909) 464-9675

13193 Central Ave
Ste 200
Chino, CA 91710
Phone (909) 902-9111

220 S Indian Hill Blvd
Ste F
Claremont, CA 91711
Phone (909) 281-5800

4651 Holt Blvd
Ste G
Montclair, CA 91763
Phone (909) 326-0414

5050 San Bernardino St
Montclair, CA 91763
Phone (909) 281-5800

41990 Cook St
Ste F2007
Palm Desert, CA 92211
Phone (442) 334-7192

9804 Foothill Blvd
Rancho Cucamonga, CA 91730
Phone (909) 466-5433

9089 Base Line Rd
Ste 200
Rch Cucamonga, CA 91730
Phone (909) 480-3567

600 N Euclid Ave
Ste 204
Upland, CA 91786
Phone (909) 379-1513

Organizations & group practices 4

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": "1543190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543190400000",
    "number": "1144790890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13193 CENTRAL AVE STE 200",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104179",
            "telephone_number": "909-902-9111",
            "fax_number": "909-902-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13193 CENTRAL AVE STE 200",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104179",
            "telephone_number": "909-902-9111",
            "fax_number": "909-902-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTOYA-BELL",
        "first_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-26",
        "last_updated": "2018-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW12775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

Verify at the official NPI Registry.