Active NPI
Jeremiah Russell Deckard Jr., ASW
- Social Worker
- Riverside, CA
National Provider Identifier
1326910993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ASW132837
- Practice address
- 4344 Latham St Ste 119
Riverside, CA 92501-0400 - Phone
- (840) 888-5310
- NPI assigned
- Sep 22, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | ASW132837 | CA | Primary |
Addresses
Primary practice location
4344 Latham St Ste 119
Riverside, CA 92501-0400
Mailing address
4344 Latham St Ste 119
Riverside, CA 92501-0400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW132837 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Telecare Corporation | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Bernardino, CA
- NPI 1912418930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777766400000",
"number": "1326910993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4344 LATHAM ST STE 119",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925010400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4344 LATHAM ST STE 119",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925010400",
"telephone_number": "840-888-5310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECKARD",
"first_name": "JEREMIAH",
"middle_name": "RUSSELL",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "ASW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-09-22",
"last_updated": "2026-05-03",
"certification_date": "2026-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW132837",
"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 May 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.