Organization Active NPI

4 Winds Cultural Counseling & Wellness Center, Licensed Clinical Social Worker, Inc.

  • Clinical Social Worker
  • Riverside, CA
National Provider Identifier
1346855749
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
4 WINDS CULTURAL COUNSELING & WELLNESS CENTER, LICENSED CLINICAL SOCIAL WORKER, INC.
Practice address
3742 Tibbetts St Ste 201
Riverside, CA 92506-2641
Phone
(951) 458-6932
NPI assigned
Sep 11, 2020
Last updated
May 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Authorized official

Name
Mr. Luis Carlos Lamadrid, LCSW
Title
Owner/Founder
Phone
(951) 965-0619

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

3742 Tibbetts St Ste 201
Riverside, CA 92506-2641

Mailing address

12536 Penske St
Moreno Valley, CA 92553-5207
Phone (951) 965-0619

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1346855749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12536 PENSKE ST",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925535207",
            "telephone_number": "951-965-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3742 TIBBETTS ST STE 201",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062641",
            "telephone_number": "951-458-6932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4 WINDS CULTURAL COUNSELING & WELLNESS CENTER, LICENSED CLINICAL SOCIAL WORKER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-11",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "LAMADRID",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER/FOUNDER",
        "authorized_official_telephone_number": "951-965-0619",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "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 May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.