Active NPI
Eddie J. Aceves, MSW
- Clinical Social Worker
- Riverside, CA
National Provider Identifier
1376736249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 108144
- Practice address
- 3125 Myers St
Riverside, CA 92503-5527 - Phone
- (951) 358-4840
- Fax
- (323) 728-9201
- NPI assigned
- Aug 23, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | 108144 | CA | Primary |
Addresses
Primary practice location
3125 Myers St
Riverside, CA 92503-5527
Mailing address
3125 Myers St
Riverside, CA 92503-5527
Phone (951) 358-4840
Other practice location 1
5835 S Eastern Ave
LA County DMH Specialized Foster Care Mental Health
Commerce, CA 90040-4001
Phone (323) 725-4625
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 |
|---|---|---|---|
| 108144 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676419200000",
"number": "1376736249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3125 MYERS ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925035527",
"telephone_number": "951-358-4840",
"fax_number": "323-728-9201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3125 MYERS ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925035527",
"telephone_number": "951-358-4840",
"fax_number": "323-728-9201"
}
],
"practiceLocations": [
{
"address_1": "5835 S Eastern Ave",
"address_2": "LA County DMH Specialized Foster Care Mental Health",
"address_purpose": "LOCATION",
"city": "Commerce",
"state": "CA",
"postal_code": "900404001",
"country_code": "US",
"telephone_number": "323-725-4625",
"fax_number": "323-728-9201",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ACEVES",
"first_name": "EDDIE",
"middle_name": "J.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-23",
"last_updated": "2023-02-15",
"certification_date": "2023-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "108144",
"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 Feb 15, 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.