NPIMap

Organization Active NPI

Weber Counseling Services a Licensed Clinical Social Worker PR

  • Clinical Social Worker
  • Corona, CA
National Provider Identifier
1316608482
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WEBER COUNSELING SERVICES A LICENSED CLINICAL SOCIAL WORKER PR
Practice address
765 N Main St Ste 127
Corona, CA 92878-1440
Phone
(951) 751-9636
NPI assigned
Dec 31, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Authorized official

Name
Jodi Bennett
Title
Billing Manager
Phone
(951) 423-2202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

765 N Main St Ste 127
Corona, CA 92878-1440

Mailing address

1460 Paso Fino PL
Norco, CA 92860-3931

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220510002161 CA Part B Supplier - Clinic/Group Practice 8325425499 Receives reassigned benefits from 6 practitioners
Practice locations: Anaheim, CA; Corona, CA

National Provider Directory

National Provider Directory

Locations

765 N Main St
Ste 127
Corona, CA 92878
Phone (951) 444-5820

901 W Civic Center Dr
Ste 4017
Santa Ana, CA 92703
Phone (951) 216-3549

134 1st St W
Ste K
Kalispell, MT 59901

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1640908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776902400000",
    "number": "1316608482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 PASO FINO PL",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928603931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 N MAIN ST STE 127",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928781440",
            "telephone_number": "951-751-9636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBER COUNSELING SERVICES A LICENSED CLINICAL SOCIAL WORKER PR",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-31",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "951-423-2202"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; 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.