Organization Active NPI

Mercedes Canizalez

Doing business as Inner Works Counseling

  • Clinical Social Worker
  • San Bernardino, CA
National Provider Identifier
1356119408
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MERCEDES CANIZALEZ
Doing business as
Inner Works Counseling
Practice address
1720 E 21St St
San Bernardino, CA 92404-5619
Phone
(909) 294-6353
NPI assigned
Dec 18, 2023
Last updated
Dec 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Authorized official

Name
Mercedes Canizalez, LCSW
Title
Sole Owner
Phone
(909) 294-6353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

1720 E 21St St
San Bernardino, CA 92404-5619

Mailing address

1663 E Date PL # 3152
San Bernardino, CA 92404-4496
Phone (909) 294-6353

Other names 1

  • INNER WORKS COUNSELING Doing business as

National Provider Directory

National Provider Directory

Locations

1663 E Date Pl
#3152
San Bernardino, CA 92404

NPI Registry JSON

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1356119408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1663 E DATE PL # 3152",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044496",
            "telephone_number": "909-294-6353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 E 21ST ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924045619",
            "telephone_number": "909-294-6353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCEDES CANIZALEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "CANIZALEZ",
        "authorized_official_first_name": "MERCEDES",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "909-294-6353",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INNER WORKS COUNSELING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.