Active NPI
Antoine Heard
- Clinical Social Worker
- Riverside, CA
National Provider Identifier
1316558026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 97959
- Practice address
- 3576 Arlington Ave Ste 100
Riverside, CA 92506-3907 - Phone
- (323) 586-7333
- NPI assigned
- Aug 14, 2020
- Last updated
- Oct 23, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 97959 | CA | Primary |
Addresses
Primary practice location
3576 Arlington Ave Ste 100
Riverside, CA 92506-3907
Mailing address
3576 Arlington Ave Ste 100
Riverside, CA 92506-3907
Phone (323) 586-7333
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tessie Cleveland Community Services Corporation | Current | Accepting new patients | |
| Marvin Behavioral Health Ca PC | Mental Health | Past | Accepting new patients |
Locations
8019 Compton Ave
Los Angeles, CA 90001
Phone 3235867333 ext. 7008
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Adolescent and Children Mental Health Clinic/Center
- Los Angeles, CA
- NPI 1194850842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603411200000",
"number": "1316558026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3576 ARLINGTON AVE STE 100",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925063907",
"telephone_number": "323-586-7333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3576 ARLINGTON AVE STE 100",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925063907",
"telephone_number": "323-586-7333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEARD",
"first_name": "ANTOINE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-14",
"last_updated": "2020-10-23",
"certification_date": "2020-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "97959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
- Health View
- Healthcare MGMT Services
- Healthful Beginnings LLC
- Healthy Medical Wellness, Inc. (Healthy Medical Wellness)
- Healthy Smiles for Everyone Dental Hygiene Practice of Marcia Espinoza
- Heardbybri
- Heart and Soul Collaborative
- Heart and Soul Collaborative
- Carla Heath-Thomas
- Dawn Elizabeth Heath, SCHOOL PSYCH CREDENT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.