Individual provider Active NPI

Ariel Wilson

  • Clinical Social Worker
  • Riverside, CA
National Provider Identifier
1225648090
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
96107 Issued in CA
Practice address
7065 Indiana Ave Ste 100
Riverside, CA 92506-4167
Phone
(951) 476-0115
Fax
(951) 476-0116
NPI assigned
Aug 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 96107 CA Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

7065 Indiana Ave Ste 100
Riverside, CA 92506-4167

Mailing address

7065 Indiana Ave Ste 100
Riverside, CA 92506-4167
Phone (951) 476-0115

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
I20250924001879 CA Practitioner - Clinical Social Worker 0446755144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12640 Hesperia Rd
Suite D
Victorville, CA 92395-7753
Phone (760) 684-4143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
96107CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tobias Moeller-Bertram MD Corporation CurrentSince Jun 16, 2025 Accepting new patients
Tobias Moeller-Bertram MD Corporation CurrentSince Jun 16, 2025 Accepting new patients
Moeller-Bertram Medical Corporation PastSince May 1, 2025 Accepting new patients

Locations

44630 Monterey Ave
Ste 100
Palm Desert, CA 92260
Phone (760) 340-4290

7065 Indiana Ave
Ste 100
Riverside, CA 92506
Phone (951) 476-0115

12830 Hesperia Rd
Ste C
Victorville, CA 92395
Phone (760) 684-8999

12640 Hesperia Rd
Ste D
Victorville, CA 92395
Phone (760) 684-4143

Organizations & group practices 3

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": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1225648090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7065 INDIANA AVE STE 100",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064167",
            "telephone_number": "951-476-0115",
            "fax_number": "951-476-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7065 INDIANA AVE STE 100",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064167",
            "telephone_number": "951-476-0115",
            "fax_number": "951-476-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ARIEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "96107",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.