Individual provider Active NPI

Jehrel Andre Bruno, LCSW

  • Clinical Social Worker
  • Temecula, CA
National Provider Identifier
1366893935
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW106633 Issued in CA
Practice address
41869 Niblick Rd
Temecula, CA 92591-3924
Phone
(310) 227-7298
NPI assigned
Jun 24, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LCSW106633 CA
Clinical Social Worker 1041C0700X LCSW106633 CA Primary

Addresses

Primary practice location

41869 Niblick Rd
Temecula, CA 92591-3924

Mailing address

41869 Niblick Rd
Temecula, CA 92591-3924
Phone (310) 227-7298

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220622002369 CA Practitioner - Clinical Social Worker 1951780972 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW106633CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mpac SMH of California PC Clinical CurrentSince May 23, 2023 Accepting new patients
Tiffani Taft Marriage Family Therapy Professional Corporation CurrentSince Jun 9, 2022 Accepting new patients
Shirley S House of Therapy Corporation Mental Health CurrentSince Mar 20, 2025 Accepting new patients
Tiffani Taft MFT, Inc. Past Accepting new patients

Locations

1980 Felicita Rd
Escondido, CA 92025
Phone (750) 741-6109

9440 Citrus Ave
Fontana, CA 92335
Phone (909) 823-3481

4681 Eagle Rock Blvd
Los Angeles, CA 90041
Phone (323) 257-8151

2351 Loveridge Rd
Pittsburg, CA 94565
Phone (925) 427-4444

600 E Washington Ave
Santa Ana, CA 92701
Phone (714) 973-1656

27600 Encanto Dr
Sun City, CA 92586
Phone (951) 679-6858

27412 Enterprise Cir W
Ste 205
Temecula, CA 92590
Phone (951) 387-8039

41593 Winchester Rd
Temecula, CA 92590
Phone (800) 223-2570

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1366893935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41869 NIBLICK RD",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925913924",
            "telephone_number": "310-227-7298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41869 NIBLICK RD",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925913924",
            "telephone_number": "310-227-7298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNO",
        "first_name": "JEHREL",
        "middle_name": "ANDRE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-24",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCSW106633",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW106633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.