Organization Active NPI

Attend Therapy, a Licensed Clinical Social Worker, Inc.

  • Clinical Social Worker
  • Riverside, CA
National Provider Identifier
1265126189
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ATTEND THERAPY, A LICENSED CLINICAL SOCIAL WORKER, INC.
Practice address
6840 Indiana Ave Ste 275
Riverside, CA 92506-4279
Phone
(408) 740-3692
NPI assigned
Jun 5, 2023
Last updated
Oct 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Authorized official

Name
Denise Harlan, OWNERNPI 1316336779
Title
LCSW
Phone
(408) 740-3692

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)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

6840 Indiana Ave Ste 275
Riverside, CA 92506-4279

Mailing address

6840 Indiana Ave Ste 275
Riverside, CA 92506-4279
Phone (408) 740-3692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240229001698 CA Part B Supplier - Clinic/Group Practice 6608211685 Receives reassigned benefits from 2 practitioners
Practice locations: Riverside, CA

National Provider Directory

National Provider Directory

Locations

6840 Indiana Ave
Ste 275
Riverside, CA 92506
Phone (951) 778-0230

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1265126189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6840 INDIANA AVE STE 275",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064279",
            "telephone_number": "408-740-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6840 INDIANA AVE STE 275",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064279",
            "telephone_number": "408-740-3692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATTEND THERAPY, A LICENSED CLINICAL SOCIAL WORKER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "HARLAN",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "408-740-3692",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.