Robbin S Caneva, LCSW
Individual provider Active NPI Clinical Social Worker · Calimesa, CA
NPI 1194044347 · NPPES record last updated Oct 11, 2019
Key facts
- NPI
- 1194044347
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 26477 (CA)
- Practice address
- 1096 Calimesa Blvd Ste 227
Calimesa, CA 92320 - Phone
- (951) 532-0712
- Fax
- (951) 801-5572
- NPI assigned
- May 27, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210701002787 | CA | Practitioner - Clinical Social Worker | 6204237993 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Time Therapy Clinic Robbin S Caneva Licensed Clinical Social Wo | Clinical | Current |
Accepting new patients |
Locations
1096 Calimesa Blvd
Ste 110
Calimesa, CA 92320
Phone (951) 532-0712
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 26477 | CA | Yes |
Addresses
Primary practice location
1096 Calimesa Blvd Ste 227
Calimesa, CA 92320
Mailing address
1096 Calimesa Blvd Ste 227
Calimesa, CA 92320-1563
Phone (951) 532-0712
Other practice location 1
1096 Calimesa Blvd Ste 227
Calimesa, CA 92320
Phone (951) 532-0712
Other providers in Calimesa, CA
- Christopher Bowles
- Margarita Bracamontes
- Madison Brittingham
- Kimberly Sue Britton
- Calimesa Counseling Center
- Maria Cardenas
- Lara Jean Carlos
- Nathan Carlson
- Monique Kassandra Chaidez
- Samuel Chege
All providers in Calimesa, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.