Ready 4 Change, a Licensed Clinical Social Worker Corporation

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

READY 4 CHANGE, A LICENSED CLINICAL SOCIAL WORKER CORPORATION

Doing business as

Ready 4 Change

Practice address

325 W Hospitality LN Ste 110
San Bernardino, CA 92408-3210

Phone

(909) 581-4854

NPI assigned

May 12, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Monique Roach, LCSWNPI 1144781733

Title

Authorized Representative

Phone

(909) 581-4854

Specialties & licenses 1

Addresses

Other names 1

• Ready 4 Change Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Monique Roach, LCSW

  • Community/Behavioral Health Agency
  • Riverside, CA
  • NPI 1144781733
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677369600000",
    "number": "1356925531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25920 IRIS AVE",
            "address_2": "STE 13A #209",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925511658",
            "telephone_number": "909-581-4854",
            "fax_number": "951-405-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 W HOSPITALITY LN STE 110",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083210",
            "telephone_number": "909-581-4854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "READY 4 CHANGE, A LICENSED CLINICAL SOCIAL WORKER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-12",
        "last_updated": "2023-02-26",
        "certification_date": "2023-02-26",
        "status": "A",
        "authorized_official_last_name": "ROACH",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "909-581-4854",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ready 4 Change",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ready 4 Change",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dijon A Rayford
• Aamir Raza, M.D.
• Maria Razo
• Serafin Sergio Razo
• Rda Home Health Services, Inc.
• Evelyn Real
• Vanessa Andrea Realegeno
• Lauren Reardon
• Ashlee Reaume
• Rebuilding Family Therapy

• Community/Behavioral Health Agency in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2023; 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.